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Reclaim Your Sovereignty

Is Reclaim Your Sovereignty suitable for you?

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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)

(Select all that apply)
A

Married and considering divorce

B

In the process of divorce

C

Recently divorced (within last 2 years)

D

Married and wanting to transform the relationship

E

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?

(Select all that apply)
A

Exhausted and depleted

B

Low energy, struggling

C

Moderate, some good days and bad days

D

Good, but could be better

E

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?

(Select all that apply)
A

Sovereign Body - Health & vitality

B

Sovereign Character - Integrity & values

C

Sovereign Mind - Intellectual growth

D

Sovereign Heart - Emotional mastery

E

Sovereign Motherhood - Parenting & legacy

F

Sovereign Love - Relationships & intimacy

G

Sovereign Purpose - Career & impact

H

Sovereign Wealth - Finances & abundance

I

Sovereign Connections - Social & community

J

Sovereign Joy - Quality of life

K

Sovereign Vision - Life direction

L

Sovereign Soul - Spiritual life

Question 16 of 21

Are you prepared to invest $7,000-$7,500 in your 90-day transformation?

A

Yes, I'm ready to invest at this level

B

Yes, with a payment plan

C

I need more information before deciding

D

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?

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

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?

A

Yes, I'm fully committed

B

Yes, but I have some concerns

C

I'm not sure yet

D

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..."

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