Confidence Clarity Assessment
Firstly, BRAVO! Yes that's right... it's time to celebrate because here's the deal - this is the first step to making big change for yourself.

Filling in this assesment will help me get a good idea of where you are currently at in life, where you want to be and what struggles are stopping you from getting there. But the hardest part for most people? Is deciding to fill the form out in the first place.

But you have taken action. And that tells me a lot.

This assessment is fully confidential, your answers will not be seen by another living soul other than myself so please, help me to help you by being as honest and as in-depth as you possibly can. Otherwise it's going to be hard to know how we can work toward your confidence reinvention.


I'm excited! Are you?! Let's do this.

 - Emma x
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What is your first and last name? *
What is your best e-mail address? (ZERO SPAM FROM ME... I promise) *
What is your IG handle, if you have one? *
Who are your biggest inspirations when it comes to CONFIDENCE and SUCCESS? *
What is your current confidence level on a scale of 1-10? *
Describe the last time you felt truly confident in life and explain WHY? *
If no fears or limitations existed, what would your dream life look like? *
And, what is the ONE goal you have (that perhaps you haven't told anyone before... but you can tell me!) that is at the heart of this dream life? *
What is the biggest mental roadblock that you face that is stopping you from achieving this goal? *
If you struggle with a negative inner critic, what does that voice say to you? (Again, this will not be shared with another living soul. You are safe with me!) *
How does this inner critic make you FEEL? (3 short words or short phrases is fine for this answer) *
How do these mental roadbloacks and limiting beliefs (your inner critic) impact the progress you want to make? (Please try to be as specific as you can. If you have examples of your experiences then even better!) *
What do you think would be possible in your life and how would you FEEL about yourself if you were able to overcome these mental/emotional roadblocks? *
What do you believe is the answer to your problem? What would the perfect solution look like? *
What have you tried so far to overcome these mental/emotional roadblocks and how did it help (or not help!) *
Are you prepared to invest in yourself? Do you understand the huge positive impact that dedication to your own personal growth could provide? *
THANK YOU! I'll be in touch! Xx
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