Spiritual Assessment
Name
*
First Name
Last Name
E-mail
*
I am interested in expanding my current spiritual gifts and connection?
*
1
2
3
4
5
6
7
8
9
10
Nope
Excited
1 is Nope, 10 is Excited
I know what spiritual gifts I have.
*
1
2
3
4
5
6
7
8
9
10
None
100%
1 is None, 10 is 100%
I love myself this much.
*
1
2
3
4
5
6
7
8
9
10
None
Fired up!
1 is None, 10 is Fired up!
I am a healer and would like to know more about my abilities
*
1
2
3
4
5
6
7
8
9
10
Not at all
Definitely
1 is Not at all, 10 is Definitely
I would like to have a spiritual practice?
*
Yes, definitely
Maybe
No, never
I've got one
I would love to feel more connected to source, God, love or the divine.
*
Yes
No
Is it easy for you to manifest what you desire? i.e. health, love, money, partnership.
*
Yes
No
Other
My biggest spiritual challenge is...
I would love to know what my divine purpose is?
1
2
3
4
5
6
7
8
9
10
Nah
Excited
1 is Nah, 10 is Excited
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