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New Client Application
This application will help determine if you're a good fit for this one on one offer. Once you fill out this form, you'll hear back shortly. If it's a fit, we can begin your Transformation journey.
What is your name?
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EMAIL ADDRESS
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What are your greatest struggles right now?
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How soon would you like to be free of these struggles?
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Are you willing to commit to weekly sessions for one to three months?
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Are you willing to commit to weekly sessions for one to three months?
Yes
Not quite
Do you currently have any self care and/or spiritual practices? If so, what are they?
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What are you most looking forward to changing during our work together?
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Why do you feel this is the time for change? What makes you more ready now than before?
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Are you ready to experience massive, positive changes in your life?
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Are you ready to experience massive, positive changes in your life?
Yes
Not Yet
Submit