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First name

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Email address

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What are you currently struggling with most?

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Which pattern describes you best?

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A

I overthink every decision

B

I second-guess myself after deciding

C

I know what to do, but I don’t follow through

D

I keep repeating the same emotional patterns

E

I struggle to trust myself

F

Something else

How is this affecting your life right now?

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What have you already tried to change it?

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If this pattern were no longer controlling you, what would become possible for you?

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How ready are you to work on this now, on a scale from 1 to 10?

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If the program feels right, would you be open to investing in personalized support?

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A

Yes, I’m actively looking for support

B

Possibly. I would need more details

C

Not right now, but I want to learn more

Would you be open to a short research conversation with me?

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A

Yes

B

Maybe

C

No

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