Wormhole Assessment

Please Fill This Out to Request a Wormhole Session with Sophia Remolde
Full Name *

First Name Last Name
E-mail *
Phone *

Area Code Phone Number
How did you come across Lobsterbird / Sophia Remolde? *
What do you do for work? *
What do you do for creative delight? *
What do you want most in your life right now? *
What is your biggest daily challenge? *
What would stop you from meeting your goals? *
On a scale from 1-10 how confident are you? *
On a scale of 1-10 how serious are you about making money with your art, creative pursuits, healing, or other services? *
I have a solid business foundation and I am clear on my offerings. *

Yes No
I feel that my business model and strategies are completely aligned with my goals. *

Yes No
I feel that my mindset is blocking me from success. *

Yes No
I am ready to invest in myself and my creativity. *

Yes No
Anything else you would like me to know? *
I would like to receive gifts of love from Lobsterbird that will free my creative sovereignty. (Your information will always remain confidential.) *

Yes No
Should be Empty:

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Please Fill This Out to Request a Wormhole Session with Sophia Remolde