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1. What is your age?

2. What is your relationship/family status?

3. Are you a business owner?

Yes

What industry are you in?

4. What is your top priority or challenge right now in life or business?

5. Have you ever worked with a coach, therapist, or joined a men’s group or retreat?

Yes

6. How would you describe your spiritual life right now?

7. Do you feel grounded in your identity and aligned with your life path?

Yes

Somewhat

8. What areas of your life are most in need of clarity, breakthrough, or transformation right now? (Choose up to 3)

Business / Career

Health / Energy

Marriage / Partnership

Fatherhood / Family

Spirituality / Faith

Emotional Healing

Leadership / Purpose

Money / Financial Alignment

Identity / Direction

9. Are you currently experiencing any of the following challenges? (Choose up to 3)

Chronic fatigue or burnout

Anxiety or stress affecting performance

Feeling stuck or unclear in my purpose

Disconnection in my marriage or family life

Physical symptoms without clear answers

None of the above

10. Have you ever experienced a spiritual awakening, ceremony, or breakthrough that shifted how you see life?

Yes

I’m not sure

11. What’s more true for you right now?

Thankyou

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