Client Intake Forms | Souly Empowered

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Soul Signature Questionnaire

To help me understand how your soul speaks, please fill out the short form below so I can better support your unique rhythm of healing and becoming.

First name

Last name

1. Spiritual Resonance Check: Which of these tools, if any, resonate with you or have supported your journey? (Select all that apply)

Astrology

Human Design

Tarot or Oracle Cards

Enneagram

Gene Keys

Plant Medicine or Psychedelic Integration

Shadow Work / Inner Child Work

Somatic or Body-Based Healing

I am more science-based but curious

None of these / not sure yet

2. Teachers & Influences Which authors, spiritual teachers, books, podcasts, or thinkers have shaped or inspired you?

3. Integration Style When it comes to growth and healing, which of these approaches feel most effective for you?

Reflective Journaling

Visuals or Art-making

Listening to voice or audio (e.g., meditation, affirmations etc.)

Physical practices (movement, breathwork, dance)

Symbolism or Metaphor

Talking it out or dialogue

Hands-on doing or Experimenting

4. Which of These Relate Most? (Check any that feel like they describe you)

I’m a big-picture visionary who needs help grounding and taking action

I’m a helper who struggles to prioritize myself or express my needs

I’m a chameleon and want to reconnect to my true self

I’m intuitive but often second-guess or doubt myself

I’m analytical and need understanding or evidence before I trust

I’m deeply sensitive and tend to absorb others’ emotions

I’m someone who feels “too much” and craves a place to express it

5. (Optional) Enneagram Insight If you’ve taken the Enneagram, what’s your type? Please include your core type and wing (if known), and a few patterns you relate to most.

6. Any other tools, modalities, or approaches you’ve loved—or didn’t resonate with? (Open text space) (e.g., therapy, coaching, mindfulness, parts work, breathwork, religious teachings, psychedelics, etc.)

7. Which elements do you resonate most with?

Fire

Earth

Air

Water

Phone: ‪(304) 404-3221‬

© 2025 by Souly Empowered LLC.

Email: hello@soulyempowered.com

The content, tools, services, and products offered on this site are for educational and personal development purposes only. While I am a licensed therapist, Souly Empowered is not a therapy practice, and nothing provided here should be interpreted as psychological or medical treatment.

Engaging with my coaching offerings, courses, or digital tools does not create a therapeutic relationship. If you are experiencing a mental health crisis or seeking therapy, please consult a licensed professional in your area. This space is designed for soulful growth, self-reflection, and empowerment—not diagnosis, clinical treatment, or trauma therapy. Think of it as a mirror, not a prescription.

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