Root Chakra Self Assessment
Please fill out your personal information and answer the assessment questions below for your coaching session. Notice: we do not share or sell personal information with third parties.
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Date : *
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Name : *
Phone : *
Email :
1. I feel safe, secure and stable without fear blocking me. *
2. I have unmet needs from my childhood. *
3. I have a tendency to overdo and/or overthink. *
4. I know how to live in the moment. *
5. I accept change in my life with grace and ease. *
6. Money and abundance comes to me easily. *
7. Most days I feel present in the moment and grounded. *
8. My physical body is healthy and strong. *
9. I feel accepted within my communities or social groups. *
10. I sometimes sabotage my goals and success. *
11. My life is organized and balanced. *
12. I have a healthy relationship to Mother Earth. *
13. Fear closes down our Root Chakra which affects our Right To Be Here. What are you afraid of? *
Select Coach and Email *
1. For Cinda: select cinda@primemychakras. com 2. For Rochel: select infinitelivingnow@gmail. com   3. For Greg: select gmoreyone@yahoo. com
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