Page 1 of 2

Welcome to Soul Talk your healing journey is just one form away :)

Can we get your full name please?

*

What’s your preferred email address?

*

Mobile number

*

Whats your current city?

*

What’s the best way to reach you?

*

What’s the best way to reach you?

A

B

Email

C

Phone call

How would you like to begin your journey? (please note offline option is currently only available in Bangalore)

*

How would you like to begin your journey? (please note offline option is currently only available in Bangalore)

A

Group Online

B

Group Offline

C

1 on 1 Healing session

Emotional Check-In

Could you briefly tell us your story what has been troubling you lately?

*

Over the last few weeks, have you felt disconnected from things you once enjoyed?

*

Over the last few weeks, have you felt disconnected from things you once enjoyed?

A

Never

B

Sometimes

C

Often

D

Almost Always

Have you felt emotionally low, heavy, or down more often than not?

*

Have you felt emotionally low, heavy, or down more often than not?

A

Never

B

Sometimes

C

Often

D

Almost Always

How has your sleep been lately?

*

How has your sleep been lately?

A

Peaceful and restful

B

Frequently disrupted

C

Trouble falling asleep

D

I sleep too much

E

I barely sleep

Have you noticed changes in your appetite or eating patterns?

*

Have you noticed changes in your appetite or eating patterns?

A

Eating more than usual

B

Eating less than usual

C

No major change

Do you find it hard to relax or feel calm, even when nothing specific is happening?

*

Do you find it hard to relax or feel calm, even when nothing specific is happening?

A

Never

B

Sometimes

C

Often

D

Almost always

Have you felt more irritable or emotionally overwhelmed lately?

*

Have you felt more irritable or emotionally overwhelmed lately?

A

Never

B

Sometimes

C

Often

D

Almost always

Do you find yourself worrying excessively about different areas of life (health, relationships, the future)?

*

Do you find yourself worrying excessively about different areas of life (health, relationships, the future)?

A

Never

B

Sometimes

C

Often

D

Almost always

Have you felt tension or tightness in your body—like your stress shows up physically?

*

Have you felt tension or tightness in your body—like your stress shows up physically?

A

Never

B

Sometimes

C

Often

D

Almost always

This form helps us understand you better and tailor your experience. It does not replace a clinical diagnosis, and your responses are confidential. Please check to continue.

*

This form helps us understand you better and tailor your experience. It does not replace a clinical diagnosis, and your responses are confidential. Please check to continue.

I understand and agree