Certification Application Form

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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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Date* This field is required.
Date
Year
Month
Day
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Which option are you enquiring about* This field is required.
Success Activation Method £5000 (subconscious healing therapy practitioner with Inner child therapy)
Energetic Activation Method £2000 for dual certification (Silent Counselling Practitioner & Human design)
The Unconscious Recode - Hypno Level 1 £1777 (ABH Approved Practitioner)
The Unconscious Recode - Hypno Level 2 - £2777(ABH Approved Master Practitioner )
EQ Mastery Coach - £3000 (emotional intelligence for self and business using EIQ)
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Do you currently have any medical issues or health problems that I should be aware about ie medications etc.* This field is required.
6
How do you currently run your coaching practice and are you familiar with unconscious reprogramming? If so, let me know below.* This field is required.
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Is there anything currently you are personally struggling with in business, life or in your mindset right now that has kept you feeling stuck?* This field is required.
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Are you in a place to invest right now?* This field is required.Investment is between 1777-5000 GBP pending on your options. If you desire more than one, then we can speak about that further
I don't have the investment right now
I am able to gain investment to support my growth
I am ready to invest
I would like to discuss extended payment plan options
I would like a bundle offer
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Is there anything else you would like to add, to support your application process?* This field is required.
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Please ensure you add me on Facebook https://www.facebook.com/SanpreetKaurEvans and comment below a convenient time for me to speak with you further. * This field is required.
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