Last Love Blueprint Call Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.Please enter a mobile phone number here.
Please enter a valid phone number.
4
Are you at least 21 years of age, female, AND 100% SINGLE?* This field is required.
YESNO
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How long have you been single?* This field is required.
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Tell me a little about your love history.* This field is required.
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7
Tell me a little more about yourself, in general, so we can get to know each other a little better...* This field is required.(i.e., do you have kids, what kind of work do you do... your age, hobbies, passions, goals/dreams, whatever you feel comfortable sharing)
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What is the most frustrating part for you of NOT having the loving relationship you want in your life?* This field is required.
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9
Please describe what you are looking for in a partner and relationship.* This field is required.
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10
What have you already tried to find love? (select all that apply)* This field is required.
Online dating
Matchmaker
Dating coach
Meeting men the "old fashioned" way (out at bars, through friends, at church, etc.)
Law of Attraction/Manifesting
Not much. Just hoping it will happen when I'm not looking.
11
Why do you think it is that you haven't yet manifested the relationship you want?* This field is required.
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At this point in your life, how important is it to you to find love?* This field is required.
There is nothing more important to me. I am happy and satisfied in other areas of my life. This is the one thing that's missing, and I want someone to share it all with.
It's important, but I'm not sure if it's important enough to risk getting hurt.
If it happens, great. If not, that's fine too.
I have more important things to worry about. It's not that important.
I want it very much. I'd say it's at the top of my priority list right now.
13
Why is NOW a good time for you? What makes you want love now? What makes you **ready** for love now?* This field is required.
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What is the one thing you most want to learn or get out of our call?* This field is required.
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Do you consider yourself to generally be a happy, healthy, well-adjusted, successful, and fulfilled person in other areas of your life (aside from love)? (If the answer is no, please explain further what other areas of your life could use some help, and why.)* This field is required.
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Do you consider yourself open-minded, coachable, and willing to learn and grow? (i.e., are you ready to make changes in your beliefs and behaviors in order to get different results in your love life?)* This field is required.
Yes
No
Not Sure
17
There are a lot of love coaches out there... Why are you applying to talk with me, specifically?* This field is required.
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Do you believe that I can help you learn how to transform your vibration to attract and manifest your soulmate?* This field is required.
Yes
No
Not sure yet
19
Are you open to the use of energy work, meditation, hypnosis, and law of attraction (manifesting) to achieve your goals in your love life?* This field is required.
Yes
No
20
Do you have time (or can you make time) in your life to do the work to get what you really want in terms of love?* This field is required.
Yes
No
Not sure
21
Are you willing and able to invest financially in a program that can get you the result you are seeking -- namely, the love of your life?* This field is required.
Yes, if I really believe in the program and the coach.
No. Even if I believe I can get the results I want, I'm not financially able (or willing) to invest.
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Is there anything else you would like to add to your application to further explain why you want to book this call?* This field is required.
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