Clarity Call Application form

Hi Lovely, Welcome to Empowerment With Swati!

A Clarity Session with Swati is an intimate, high-touch conversation for a woman who is truly ready to bring back deep love and connection with her man, while rediscovering her own power in her relationship.

On this call, we'll take a look at your current situation, what you want to create in your relationship, and how I can help you build the relationship you truly desire.

Please fill out this form honestly and completely — it helps me show up fully prepared for you. Can't wait to see you on the other side.

Is this number on WhatsApp?

This number is on WhatsApp.

I use a different number on WhatsApp.

IST – India Standard Time (UTC+5:30)

EST – Eastern Standard Time (UTC-5)

EDT – Eastern Daylight Time (UTC-4)

CST – Central Standard Time (UTC-6)

PST – Pacific Standard Time (UTC-8)

PDT – Pacific Daylight Time (UTC-7)

GMT – Greenwich Mean Time (UTC+0)

BST – British Summer Time (UTC+1)

CET – Central European Time (UTC+1)

CEST – Central European Summer Time (UTC+2)

GST – Gulf Standard Time (UTC+4)

PKT – Pakistan Standard Time (UTC+5)

SGT – Singapore Time (UTC+8)

AEST – Australian Eastern Standard Time (UTC+10)

AEDT – Australian Eastern Daylight Time (UTC+11)

NZT – New Zealand Time (UTC+12)

CAT – Central Africa Time (UTC+2)

6. Which best describes the current cycle you're ready to leave behind? *

The Distance: We're "fine," but we've lost the spark to our daily routine and life.

The Roommate Phase: No intimacy/connection, transactional, I miss feeling like his "One."

Communication Breakdown: Constant misunderstandings, repetitive fights.

Outside Interference: In-laws or others affecting our peace/privacy.

The Silence: High conflict, yelling, or the weight of the "silent treatment."

Crisis Point: He is in an affair, or we're on the verge of separation/divorce.

7. In your words, how is this challenge affecting you personally and how are you showing up in your relationship as a result of that?

8. What do you want to create in the next 6-8 months in your relationship?

9. Which approach resonates with you the most to create your dream relationship.

I'm ready to lead the change by making powerful shifts on my end, without waiting for him to change first.

I'm not sure how this works, but I'm willing to try shifting the focus from "him" back to "Me" to reclaim my love and dignity in this relationship.

I feel he must change his behavior first for me to feel happy and for our relationship start improving.

10. Have you invested in therapy, other coaching programs, counseling or other forms of professional help? Did they work for you? if not, Please also explain why they were unsuccessful?

11. Private Coaching requires time and financial investment for your empowerment and creating your dream life. On a scale of 1-10 how willing and able are you to invest in yourself at this point? 10 being the highest readiness to invest in yourself and change your life*

10 - Yes, I am ready and able to invest and I can't wait to get started!

8 and above - Yes, I may or may not have all the funds but I am extremely resourceful and will find a way somehow to get started.

7 - No, I genuinely don't have the funds to invest in myself at this point, but If I can somehow arrange the funds, I would not hesitate to invest in me.

6 and less - I don't have the funds, nor am I looking to invest in myself at this point. I'm just exploring.

12. On a scale of 1–10, how committed are you to showing up for yourself and this journey? *

10 — I am doing this work, no matter what!

8 or 9 — I am ready to prioritize this journey. I'm willing to show up and shift.

Below 7 — I'm not sure if I can fully commit right now. I'm feeling hesitant.

13. Are you fully committed to being punctual and ready for this call? *

Yes, I am 100% committed to showing up for this call.

I'll book but I'm not sure if I'll turn up for the call.

*By submitting this form, I consent to the use of my information to reach me regarding my application, appointments, relationship guidance, any future program or service updates and offers from Empowerment with Swati. I understand that I can opt out of these communications at any time.

Clarity Call Application form

1. Your Name *

2. Email Address*

3. Phone Number *