Third Eye 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.
Sign in to Google to save your progress. Learn more
Date : *
MM
/
DD
/
YYYY
Name : *
Phone : *
Email :
1. My spiritual insight is clear. *
2. I am connected to my higher self. *
3. I trust my insights. *
4. My intuition and awareness is a gift. *
5. I know how to connect to my higher power. *
6. I know how to tell the difference between my intuition and my ego. *
7. I am intuitive. *
8. I trust the guidance I receive. *
9. All of the answers I need are inside of me. *
10. I connect daily to Source energy. *
11. I know and understand what my intuitive gifts are. *
12. I am able to receive messages from Spirit. *
13. The illusion of separation closes down our Third Eye Chakra which affects our 'Right To See'.  What illusion are you holding onto that is separating you from peace and joy? *
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
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms