Name

Email Address

Phone Number

Age

Relationship Status

How Did You Find Me?

What Is The Size Of Your Home In Square Feet?

Do You Have A Garden? Do You Have A Garden? Yes No

What Is The Size In Square Feet?

In A Nutshell, What’s The One Thing You Are Struggling With The Most Right Now?

Describe What Your Ideal Life And/or Relationship Would Look Like.

Are You Familiar With Chakras And Energy Work? Are You Familiar With Chakras And Energy Work? Yes No

Have You Hired A Coach Before? Have You Hired A Coach Before? Yes No

What Was Your Experience?

On A Scale From 1-10 How Ready Are You To Invest In Transforming Your Life On The Deepest Level?

What’s Your Primary Interest? What’s Your Primary Interest? I Am Clear I’m Ready To Make Changes And Open To Hiring A Feng Shui Consultant I’d Like To See Whether Alpha Chi Feng Shui Energy Work Is A Fit For Me I’m Not Open To Someone Else Guiding Or Supporting Me

What Else Do You Want Me To Know?