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Question 1 of 21
Full Name
Question 2 of 21
Email Address
Question 3 of 21
Phone Number (WhatsApp preferred)
Question 4 of 21
Location/Time Zone
Question 5 of 21
How did you hear about Reclaim Your Sovereignty?
Question 6 of 21
What is your current relationship status? (Check all that apply)
Married and considering divorce
In the process of divorce
Recently divorced (within last 2 years)
Married and wanting to transform the relationship
Other (please explain)
Question 7 of 21
Do you have children?
Question 8 of 21
In 2-3 sentences, describe your current situation and what brought you to this application.
Question 9 of 21
What is the biggest challenge you're facing right now?
Question 10 of 21
Are you experiencing any physical health challenges?
Question 11 of 21
How would you describe your current energy levels and overall well-being?
Exhausted and depleted
Low energy, struggling
Moderate, some good days and bad days
Good, but could be better
Great, just want to optimize
Question 12 of 21
Have you tried other healing modalities or therapies?
Question 13 of 21
If we were meeting 90 days from now and you were thriving, what would have changed?
Question 14 of 21
What does "sovereignty" mean to you?
Question 15 of 21
Looking at the 12 Sovereignty Pillars, which 3 feel most urgent for you to transform right now?
Sovereign Body - Health & vitality
Sovereign Character - Integrity & values
Sovereign Mind - Intellectual growth
Sovereign Heart - Emotional mastery
Sovereign Motherhood - Parenting & legacy
Sovereign Love - Relationships & intimacy
Sovereign Purpose - Career & impact
Sovereign Wealth - Finances & abundance
Sovereign Connections - Social & community
Sovereign Joy - Quality of life
Sovereign Vision - Life direction
Sovereign Soul - Spiritual life
Question 16 of 21
Are you prepared to invest $7,000-$7,500 in your 90-day transformation?
Yes, I'm ready to invest at this level
Yes, with a payment plan
I need more information before deciding
No, this is outside my budget
Question 17 of 21
On a scale of 1-10, how ready are you to make significant changes in your life in the next 90 days?
1
2
3
4
5
6
7
8
9
10
Question 18 of 21
What would successful completion of this program be worth to you?
Question 19 of 21
Are you willing to commit to 3 months of deep inner work, including monthly RTT sessions, weekly check-ins, and daily integration practices?
Yes, I'm fully committed
Yes, but I have some concerns
I'm not sure yet
No
Question 20 of 21
Is there anything else you'd like me to know about your situation or why you're applying?
Question 21 of 21
Complete this sentence: "I'm ready to reclaim my sovereignty because..."