IN Manifestation Diagnostic Call Application

Private 60-Minute Clarity & Breakthrough Conversation

IN Manifestation Diagnostic Call Application

Ignite • Nurture • Manifest

Thank you for taking this important step towards understanding yourself and your life more deeply.

Lasting change doesn’t always come from knowing more. It often begins with understanding what is truly holding you back and what keeps repeating.

The IN Manifestation Diagnostic Call is a focused 60-minute private conversation designed to help you gain clarity on your current situation, identify recurring patterns, understand your desired outcome, and explore your next step.

Please answer the questions below honestly and thoughtfully. There are no right or wrong answers. Your responses will be carefully reviewed by the IN Manifestation team before your Diagnostic Call.

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1About You

1. Full Name *

Please complete this field correctly.

2. Age *

Please complete this field correctly.

3. Email Address *

Please complete this field correctly.

4. WhatsApp Number with Country Code *

Please complete this field correctly.

5. City & Country *

Please complete this field correctly.

6. What best describes you professionally? *

Business Owner

Entrepreneur

Corporate Professional

Self-Employed Professional

Freelancer

Homemaker

Student

Retired

Other

Please select one option.

2Your Current Reality

Before we understand where you want to go, let’s first understand where you are today.

7. Which ONE area of your life would you most like to transform right now? *

Health & Well-being

Relationship / Marriage

Career

Business

Money & Finances

Emotional Well-being

Confidence & Self-Worth

Spiritual Growth

Purpose & Direction

Multiple Areas

Please clarify which multiple areas you want to transform *

Please clarify the multiple areas you want to transform.

Please select one option.

8. What is the biggest challenge you are currently facing in this area? *

Please explain in your own words what is happening and how it is affecting your life.

Please answer this question.

9. How long have you been experiencing this challenge? *

Less than 6 months

6–12 months

1–3 years

3–5 years

More than 5 years

It feels like this has been there for most of my life

Please select one option.

10. What have you already tried to improve or resolve this situation, and what happened? *

Please answer this question.

3What Keeps Repeating?

Sometimes the visible problem changes, but the same feelings, reactions or situations keep returning. Take a moment and answer this section honestly.

11. Complete this sentence: “No matter how hard I try, I somehow keep…” *

Please answer this question.

12. What is ONE pattern or situation that seems to keep repeating in your life, even though you have tried to change it? *

Please answer this question.

13. When this pattern or situation happens, what do you usually feel? Select all that apply: *

Fear

Worry / Anxiety

Anger

Frustration

Self-doubt

Rejection

Guilt

Overwhelm

Helplessness

Loneliness

Pressure

Confusion

Emotional heaviness

Other

Please select the required option(s).

14. When you feel this way, what do you usually do? *

Overthink

Become silent / withdraw

React emotionally

Get angry

Procrastinate

Avoid the situation

Try to control everything

Seek reassurance from others

Work even harder

Distract myself

Give up temporarily

I’m not sure

Other

Please select the required option(s).

15. What do YOU believe is the biggest thing currently stopping you from creating the life you want? *

Please answer this question.

16. If your closest friend were answering this question about you, what would they say is the ONE thing that keeps holding you back? *

Please answer this question.

4The Life You Want

Now forget the current problem for a moment. Let’s understand what you actually want to create.

17. Imagine it is exactly ONE YEAR from today and life has gone beautifully for you. What would be different? *

Think about your health, relationships, career/business, money, emotional well-being and overall quality of life.

Please answer this question.

18. What are the TOP 3 changes you would most love to see in your life over the next 12 months? *

Please answer this question.

19. If you achieved these changes, what would it mean to you personally? *

Please answer this question.

20. If this Diagnostic Call could give you clarity on just ONE thing, what would you most want that clarity to be about? *

Please answer this question.

5Your Readiness for Change

21. On a scale of 1–10, how committed are you to creating meaningful change in your life right now? *

1

2

3

4

5

6

7

8

9

10

1 = I’m only exploring10 = I’m fully committed to change

Please select a number from 1 to 10.

22. Why did you choose that number? *

Please answer this question.

23. If you clearly understand what needs to change, how willing are you to take consistent action? *

I am completely ready to take action

I am ready, but I need guidance and accountability

I want change, but I still have some hesitation

I am mainly looking for clarity right now

I am not sure yet

Please select one option.

24. Why do you feel NOW is the right time to create this change? *

Please answer this question.

6Your Personal Growth Journey

25. Which of the following have you tried before? *

Books / Self-help Content

YouTube / Podcasts

Meditation

Manifestation Practices

Affirmations

Coaching

Therapy / Counselling

Healing Modalities

Spiritual Practices

Personal Development Courses

Workshops / Retreats

None of the above

Other

Please select the required option(s).

26. What has helped you the most so far?

Please answer this question.

27. Why do you feel the change you are looking for has not happened yet? *

Please answer this question.

7Financial & Investment Readiness

28. What is your approximate monthly personal or household income? *

Below ₹50,000

₹50,000 – ₹1,00,000

₹1,00,000 – ₹2,00,000

₹2,00,000 – ₹5,00,000

₹5,00,000 – ₹10,00,000

Above ₹10,00,000

Please select one option.

29. What is your primary source of income? *

Salary

Business

Professional Practice

Freelancing / Consulting

Investments

Multiple Sources

Family / Household Income

Other

Please select one option.

Important Investment Notice

Please read carefully before continuing.

If, after your Diagnostic Call, both you and our team feel there is a strong mutual fit, you may be invited to continue with one of our 12-month premium transformation programs.

The investment for these programs ranges from ₹1,50,000 to ₹3,00,000, depending on the level of support recommended.

There is no obligation to enrol in any program simply by attending the Diagnostic Call.

However, please continue only if you are genuinely open and financially prepared to consider this level of investment should we mutually decide to work together.

30. If there is a strong mutual fit after the Diagnostic Call, how would you describe your readiness to consider an investment of ₹1,50,000–₹3,00,000 in a 12-month transformation journey? *

Yes — I am open and financially prepared if I see the right fit

Yes — I am open, but I would need to discuss it with my spouse/family

Possibly — I would first need more clarity before making a decision

No — I am not currently in a position to consider this level of investment

Please select one option.

31. Who else, if anyone, is involved in major financial decisions like this? *

I make my own financial decisions

My spouse/partner

My parents/family

My business partner

Someone else

Not applicable

Please select one option.

32. If you feel the program is right for you, what would be your biggest consideration before making a decision? *

Understanding exactly how the program can help me

Financial investment

Time commitment

Discussing it with my spouse/family

Trust in the process

Previous experiences with coaching/programs

I would be ready to decide if I see the right fit

Other

Please select one option.

8Final Reflection

You’re almost done. Please answer these final questions from the heart rather than trying to give the “perfect” answer.

33. What is the ONE thing you most want to leave behind in this phase of your life? *

Please answer this question.

34. What is the life you truly want to create for yourself? *

Please answer this question.

35. What made you apply for the IN Manifestation Diagnostic Call at this particular point in your life? *

Please answer this question.

36. Is there anything important you would like Coach Irfan or Coach Neha to know before your Diagnostic Call?

Please answer this question.

9Your Agreement

Before submitting your application, please confirm the following:

37. Please confirm: *

I understand that lasting transformation requires personal responsibility, openness and consistent action.

I am willing to be honest and open during my Diagnostic Call.

I understand that the Diagnostic Call is intended to provide clarity and guidance and does not guarantee any specific health, financial, relationship, career, business or manifestation outcome.

I understand that submitting this application does not guarantee acceptance for the Diagnostic Call.

I understand that if there is a mutual fit, I may be invited to explore a separate premium transformation program, but there is no obligation to enrol.

I confirm that the information I have provided is accurate to the best of my knowledge.

Please select the required option(s).

Submitting this application does not guarantee acceptance. If selected, the IN Manifestation team will share the next steps through your registered WhatsApp number and/or email address.