Page 1 of 2

Free Clarity 1:1 Call

Full Name

E-mail Address

3. Social Media Handle (so I can reach you out)

Social Platform

1. What are you currently struggling with most? (Be as real as you can, no masks needed here)

Feeling lost, anxious or stuck

Sexual control (lust, porn, mastrubation)

Relationship Issue, or heartbreak

Inner child/past emotional wounds

Social anxiety & confidence

Lack of purpose, direction or clarity

Other (please specifiy below)

If selected 'other' (specifiy here)

2. What made you willing to finally change?

(What made you realize this can’t be delayed anymore? What shifted?)

3. What have you already tried to fix this?

(what worked, what didn’t?)

4. What’s been holding you back from changing until now?

(Patterns, beliefs, fears, people, mindset… be raw and honest)

5. What would your life feel like if this was fully healed or transformed?

Are you open to receiving support through a future paid program if it feels aligned?

Final note: This is a sacred space. I’ll only reach out or continue with the call if I feel we’re aligned for this work together. Thank you for showing up with truth.