Parenting Discovery Call

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Conscious Parenting Revolution
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When we work together we'll be expecting you to use our techniques to improve the relationship with your child in less than 10 days...Is that you?* This field is required.
YESNO
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Full Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.We may text you with further questions after reviewing your application
Area Code
Phone Number
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Tell me about your child/children, specifically what’s wrong and where you feel like you need the most help.* This field is required.
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What concept(s) in the video made you feel like this is the right opportunity to help you improve the relationship with your child?* This field is required.
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Be honest, we've made some pretty big claims and we've backed them up. Do you really believe that it's possible for the relationship with your child to dramatically improve in just 90 days…? Why or why not?* This field is required.
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What would your family life look like in 90 days for you to be able to say, "Wow, this was a huge success"?* This field is required.
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Why is RIGHT NOW the perfect time for us to help you with your child?* This field is required.
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Is there anyone else (spouse or partner) that needs to be on this call with us before making an investment? (If "yes", please bring them on the call with you).* This field is required.
YESNO
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Please select your annual household income. (This will help us choose the best program to fit your needs).
$0-30,000
$30,000-40,000
$40,000-50,000
$50,000-60,000
$60,000-70,000
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$90,000-100,000
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$200,000+
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On a scale of 1-10, how committed are you to improving your relationship with your children?
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I understand that in order for my application to be considered, I must book a time to chat with Katherine or another team member on the following page.* This field is required.You will be redirected to the next page when you click "submit"
YESNO
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Please verify that you are human* This field is required.
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