Soul Resonance & Relationship Energy Mapping Intake Form
At Pulse of Terra, we harness our expertise in energetic analysis to assess the compatibility between you and your partner. Below is a preview of the comprehensive questionnaire our team will use to evaluate your relationship’s energetic blueprint. We’ll answer each question on a 1–10 scale based on your provided details, delivering a personalized report with deep insights.
Here’s what we will do for you:
- Conduct a thorough energetic assessment using Tesla-inspired tools and radiesthetic methods.
- Rate each question on a 1–10 scale to measure compatibility across key areas.
- Process your intake data and payment, then send you a detailed compatibility report with actionable insights.
All we need from you is to complete the intake form below with your details and submit payment. We’ll handle the rest!
Questionnaire Preview
This is the framework we use to assess your relationship’s energy. Each question will be answered by our team on a 1–10 scale, with 1 indicating low compatibility and 10 indicating high compatibility. Your input helps us provide accurate, insightful results.
💖 Emotional Connection
What to look for: Warmth, empathy, emotional safety, and the ability to feel “seen” and understood.
Why it matters: Strong emotional resonance is foundational for love, trust, and long-term connection.
- Is there a strong emotional resonance between us?
- Is our energetic frequency aligned?
- Does this person feel emotionally safe for me?
- Do I feel uplifted in their presence?
- Is there spiritual compatibility between us?
Subtotal: _______/50
🧠 Communication & Understanding
What to look for: Open, honest dialogue; similar communication styles; comfort in expressing needs and listening.
Why it matters: Misunderstandings or blocked communication are common causes of relationship stress.
- Do we have compatible communication styles?
- Can we resolve conflict in a healthy way together?
- Do we inspire mental stimulation in each other?
- Is there mutual respect for opinions and beliefs?
- Do we share similar emotional intelligence?
Subtotal: _______/50
🔥 Physical & Energetic Attraction
What to look for: Chemistry, magnetism, and ease in physical presence.
Why it matters: While not everything, attraction often initiates and sustains romantic interest.
- Is there strong romantic chemistry?
- Do we share a natural physical attraction?
- Are our intimacy needs compatible?
- Is our affection frequency (how we show love) similar?
- Is there a long-term romantic potential?
Subtotal: _______/50
🧭 Life Goals & Values
What to look for: Alignment in family values, lifestyle, personal growth goals, and future plans.
Why it matters: Compatibility in vision and values often determines long-term relationship potential.
- Do we have similar long-term goals?
- Are our core values aligned?
- Are we spiritually or philosophically in sync?
- Would we likely grow together, not apart?
- Is there mutual support for each other’s path?
Subtotal: _______/50
🏡 Lifestyle & Compatibility
What to look for: Daily habits, living preferences, financial outlook, and social rhythms.
Why it matters: Even highly compatible couples may struggle if their day-to-day lives are too different.
- Are our daily routines and lifestyles compatible?
- Are our health and wellness habits aligned?
- Would our social lives blend harmoniously?
- Would living together be energetically stable?
- Is our financial outlook and spending alignment supportive?
Subtotal: _______/50
🔷 Family, Friends & Future
What to Look For: Shared values about family and long-term goals; comfort with each other’s friends and social life; alignment on children, lifestyle, and future vision.
Why It Matters: Future plans shape long-term harmony; misaligned values may cause conflict over time; strong alignment supports a stable, shared path.
- Would our families energetically support this relationship?
- Are we aligned in views about children (if relevant)?
- Would our friendship circles integrate well?
- Is there harmony in our future visions?
- Would this relationship stand the test of time?
Subtotal: _______/50
🧬 Chakra Alignment (Energetic Harmony)
What to look for: Energetic balance across the 7 major chakras—especially the Heart and Crown chakras.
Why it matters: Misaligned chakras may point to emotional, sexual, or spiritual disconnects that need healing.
- Root Chakra – Do we feel safe and grounded together?
- Sacral Chakra – Is there a healthy level of sensuality and creative energy?
- Solar Plexus – Are we individually empowered and respectful of each other’s will?
- Heart Chakra – Is there open-hearted love and compassion?
- Throat Chakra – Can we communicate honestly and openly?
- Third Eye – Do we share a common vision or intuitive bond?
- Crown Chakra – Do we support each other’s spiritual path or purpose?
Subtotal for Chakra Compatibility: _______/70
Final Relationship Compatibility Score
Total Score from All Sections (out of 370): ________________________
Overall Compatibility Percentage: ____________________
Compatibility Summary: ______________________________________________________________________________
Notes or Practitioner Observations: ______________________________________________________________________________
Each section is scored out of 50 (or 70 for Chakra Alignment), contributing to a total score out of 370. Your report will include these scores, a percentage, and detailed insights based on our analysis.
💞 Personal & Relationship Energy Compatibility Pricing
Limited-Time Offer: For the first two months, enjoy all tiers and add-ons at HALF PRICE! Launching a new service means exclusive savings for early adopters—don’t miss out on understanding your relationship’s energetic potential at these special rates!
🔹 Tier 1: Single Compatibility Scan (Basic Insight)
- Introductory Price: $49 (Regular Price: $97)
- Includes remote energetic assessment of two individuals’ energy fields.
- Identifies general compatibility, emotional blockages, or energy mismatches.
- Includes basic recommendations for alignment or support.
🔹 Tier 2: Deep Dive Compatibility Mapping
- Introductory Price: $199 (Regular Price: $397)
- Includes in-depth energetic scanning for two individuals, identifying:
- Emotional blockages
- Communication flow
- Energetic strengths & weaknesses
- Provides personalized recommendations (e.g., energy balancing techniques, supplements, alignment exercises).
- PDF summary report included.
🔹 Tier 3: Group or Family Compatibility Scan
- Introductory Price: $399 (Regular Price: $797) for up to 5 people
- Add $60 per additional person beyond five (Regular: $120).
- Includes comprehensive energy mapping between multiple people (family, team, or friend group).
- Tracks interpersonal dynamics, energy flow between members, and collective alignment.
- Detailed report with group recommendations.
🔧 Optional Add-Ons:
- Follow-Up Scan (within 90 days to assess progress):
- Introductory Price: $75 (Regular Price: $149)
- Relationship Coaching Call (30 minutes—reviewing insights and answering questions):
- Introductory Price: $50 (Regular Price: $99)
💡 Final Thoughts
What to Discover: A high compatibility score illuminates energetic harmony, emotional alignment, and the potential for a profound connection.
Why It Matters: Even a lower score is an invitation to explore—highlighting areas for growth, healing, or open conversation. Relationships are dynamic; they evolve as you both grow. Embrace this report as a compass for your journey, not a final verdict.
A Note of Care: This compatibility assessment is designed for energetic exploration and personal insight only. It’s not a replacement for professional psychological, relationship, or medical guidance. Use it thoughtfully to enhance your path.
Ready to unlock your relationship’s energetic potential? Complete the intake form below with your details, submit payment, and we’ll deliver a detailed compatibility report with our 1–10 ratings and tailored insights to guide your next steps!