Strategy Call with Stacey
Name
*
First Name
Last Name
example@example.com
*
Email
Where did you hear about me?
*
Facebook
You Tube
Instagram
Referral
Other
If you chose referral above, who may we thank for the referral?
I have NOT been diagnosed with Major Clinical Depression, Bipolar Disorder, Schizo- Affective type disorders, Borderline Personality Disorder, or as a Narcissist. I understand that all coaching and/or hypnosis sessions do not constitute counseling or therapy.
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I do NOT have the above diagnoses
I have been diagnosed with one of the above.
I understand the strategy call will take place via zoom, with camera off. A link will be sent once the call has been confirmed by me, and a reminder email with link will be sent 1 hour before our call.
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Yes, I understand
What issue are you interested in resolving?
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How has this impacted your life in the past? (missed events, relationships, money, etc)
*
How is this issue impacting your life right now?
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On a scale of 1-10, how committed are you to resolving this problem?
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How does it make you feel when you think about letting this go once and for all?
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Do you currently have the time and money to invest in your transformation?
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Yes
No
How do you feel about investing in yourself?
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I work closely with my clients, and invest my time and resources to help guide them to get the transformation they want. Why do you think you would be a good fit to work with me?
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Submit
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