Your Full Name
Your Email
Your 4 Core Energetic Frequency Scores. Enter the percentages from the top section of your quiz results page.
Fire (Radiant Creator) e.g. 42%
Air (Visionary Alchemist) e.g. 28%
Water (Empathic Oracle) e.g. 20%
Earth (Grounded Architect) e.g. 10%
Your 4 Stress Frequency Scores. Enter the percentages from the bottom section of your quiz results page.
Stress Fire ( e.g. 42% )
Stress Air ( e.g. 28% )
Stress Water ( e.g. 20% )
Stress Earth ( e.g. 10% )
Briefly describe your situation. The more context you provide, the more precise your map will be. No need to write a novel, just share what's most relevant so I can understand where you are.
What is the core question you keep asking yourself about this? The one that won't leave you alone.
What patterns do you notice repeating in this situation? Check all that feel true. I give more than I receive and stay anyway
I shrink or dim myself to avoid conflict or disappointment
I stay longer than I should because leaving feels wrong or scary
I rationalize or talk myself out of what I feel
I attract intensity or unavailability and call it connection
I know what I need but feel guilty for wanting it
I perform or produce to feel worthy or secure
I wait for things to "get better" instead of deciding
I give more than I receive and stay anyway
I shrink or dim myself to avoid conflict or disappointment
I stay longer than I should because leaving feels wrong or scary
I rationalize or talk myself out of what I feel
I attract intensity or unavailability and call it connection
What do you tell yourself you're "waiting for" before you decide? Be honest here, this one is important.
When you think about this situation, what happens in your body? Check all that apply. Tightness or heaviness in my chest
I feel numb or disconnected
Anxiety or a low hum of dread
I go into problem-solving mode and detach from feelings
I feel exhausted before the conversation even starts
There's a knowing I keep overriding
I don't know what my body is saying, I'm not connected to it yet
Tightness or heaviness in my chest
I feel numb or disconnected
Anxiety or a low hum of dread
I go into problem-solving mode and detach from feelings
I feel exhausted before the conversation even starts
There's a knowing I keep overriding
I don't know what my body is saying, I'm not connected to it yet
On a scale of 1 to 10, how regulated do you feel in this situation day to day? 1 = completely dysregulated and overwhelmed. 10 = calm and grounded. 1
2
3
4
5
6
7
8
9
10
If you woke up tomorrow and this was resolved, what would be true? Don't censor. Write your actual answer.
Complete this sentence honestly: I believe that in order to be loved, successful, or enough, I have to _______________.
Which parts of your current situation feel alive and energizing, even when they are hard? Which parts feel like obligation, survival, or something you are doing for someone else’s reasons?
What outcome are you most hoping this map gives you? Check all that apply. Clarity on whether to stay or leave, continue or pivot
Understanding why I keep repeating this pattern
Knowing what my archetype actually needs in this situation
Permission to trust what I already feel
Concrete next steps I can actually take
To feel less alone in figuring this out
Clarity on whether to stay or leave, continue or pivot
Understanding why I keep repeating this pattern
Knowing what my archetype actually needs in this situation
Permission to trust what I already feel
Concrete next steps I can actually take
To feel less alone in figuring this out
Is there anything else you want me to know before I build your map?
Submit My Intake — I'm Ready for Clarity
