Thank you for taking this first step toward clarity and a profound breakthrough. Please complete this form with as much detail as you’re comfortable sharing. Your answers will help us focus our discovery call on what truly matters to you.

Estimated time to complete form: “This form takes about 10 minutes to complete.

Name *

First Name

Last Name

Profession *

Email *

Phone *

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Location *

Website

If you have a website, blog, company, or social media page, please share the link.

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What is the specific challenge, situation, or pattern you’d most like to shift or breakthrough? *

Please describe the main issue or opportunity you want to explore so we can focus on what matters most to you.

Can you share a brief summary of what’s happening with this challenge or opportunity? *

Please include any important background details, key events, or how it’s showing up in your life right now.

What result, insight, or shift would you love to get from these consultations? *

(Be as specific as possible.)

About You *

Tell me a bit about yourself — anything you'd like me to know to understand better who you are and how you operate.

What do you value most in life right now?

Top 3 values (If you know them.)

Which of these areas does your life demonstrate you focus, prioritize and are dedicated to? *

Personal Development

Finances

Spiritual Growth

Knowledge & Learning

Family

Business

Career

Relationship

Social Interactions

Health & Wellness

Key People and Influences *

Are there any specific people involved in any challenges you want to work on? Is there someone you feel triggered, challenged by, resentful toward, or emotionally stuck around?

How did you hear about this work? *

(Referral, social media, event, etc.)

Is there anything else you’d like to share before we begin?

Feel free to write as much or as little as you’d like — anything you share helps me better understand you and support you more effectively.

What’s motivating you to take this step right now? *

People often take intrinsic action from one of two places: A) Desperation (something isn’t working and must change) B) Inspiration (you’re ready to grow, expand, and level up)

I’m feeling stuck or overwhelmed — something needs to change now

I’m inspired and ready to discover and expand into the next layer of my vision

I’m not sure — but I know I want to have this conversation

I’ve had a wake-up call (life event, health issue, etc.) and want support to breakthrough

Your form has been received. I’ll be in touch soon with next steps.

Looking forward to working together.

Once submitted, if you haven’t scheduled your discovery call please do so. Your information is kept strictly confidential and used solely to prepare for our conversation.

See you on our discovery call. I look forward to reading your replies.

In confidence,
Amar