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Welcome!

In-Depth Self-Assessment

First, answer the following questions.

Then, complete the quiz.

Lastly, submit everything!

You will receive your results within 24 hours or less!

Step 1 of 5

20%

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

What are you struggling with?(Required)

How long has this been an issue for you?

How is this impacting your life?

What have you done in the past to help yourself? (Therapy, etc.)

Have you ever worked with a personal holistic healing practitioner before?

Yes

No

Do you have the time and resources to invest in your healing process at this time?

Yes

No

Self-Care and Physical Well-Being

You experience chronic pain or physical ailments.

Always

Usually

Sometimes

Rarely

Never

You feel that you look older than you really are.

Always

Usually

Sometimes

Rarely

Never

You find it challenging to go to bed on time, fall asleep easily, and stay asleep.

Always

Usually

Sometimes

Rarely

Never

You over-indulge in harmful activities, i.e., shopping, alcohol, drugs, smoking, etc.

Always

Usually

Sometimes

Rarely

Never

You are unsatisfied with your current exercise and physical activity levels.

Always

Usually

Sometimes

Rarely

Never

Personal Relationships

You experience conflicts in your relationships.

Always

Usually

Sometimes

Rarely

Never

Your lack of work/life balance causes conflict in your personal relationships.

Always

Usually

Sometimes

Rarely

Never

You find it hard to make the time to nurture your personal relationships because of your professional or other commitments.

Always

Usually

Sometimes

Rarely

Never

You feel unappreciated by the people that are close to you.

Always

Usually

Sometimes

Rarely

Never

You find yourself acting irritable and short tempered with the people you love.

Always

Usually

Sometimes

Rarely

Never

Life Success

You feel unfulfilled in your job/life.

Always

Usually

Sometimes

Rarely

Never

You feel stuck or stagnant in one or more of the areas of your life.

Always

Usually

Sometimes

Rarely

Never

You feel overwhelmed by your responsibilities.

Always

Usually

Sometimes

Rarely

Never

You find it difficult to focus and finish projects at a steady pace and on time.

Always

Usually

Sometimes

Rarely

Never

You experience stress or burnout in your job/life.

Always

Usually

Sometimes

Rarely

Never

Personal Happiness and Emotional Well-Being

You feel a lack of energy and feel tired.

Always

Usually

Sometimes

Rarely

Never

You feel overwhelmed by your emotions.

Always

Usually

Sometimes

Rarely

Never

You find it hard to let go of past mistakes and blame yourself.

Always

Usually

Sometimes

Rarely

Never

You believe that you need to be perfect to experience love and happiness.

Always

Usually

Sometimes

Rarely

Never

You have a hard time relaxing or unwinding.

Always

Usually

Sometimes

Rarely

Never

Based on your results I will be contacting you regarding your next steps! I cannot wait to help you find balance, reduce stress and reclaim your vitality so that you can thrive in your professional life and feel connected with people you love!

Phone

This field is for validation purposes and should be left unchanged.

SUBSCRIBE TO MY NEWSLETTER

Email

Call / Text Sara 405-203-8927

Welcome to a safe space for healing and self-discovery. Call or Text me 405-203-8927 to chat about how I can help you!

Sara

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Comments

This field is for validation purposes and should be left unchanged.