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Expanding Zaia - Expression Of Interest Application
A few short questions to discover where you're at & see if booking a free call with me to discuss working together is in alignment right now.
10
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1
Name
*
This field is required.
First name
Last name
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2
Email
*
This field is required.
example@example.com
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3
WhatsApp Number
*
This field is required.
including area code please
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4
Which of these topics are you most interested in?
*
This field is required.
Self Love
Embodiment
Tantra
Relationships
Shadow Work
Natural Holistic Health
Digital Entrepreneurship
Other
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5
What is the biggest challenge you're facing right now?
*
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6
What have you done to work on overcoming this challenge?
*
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Have you read books, attended retreats, worked with a coach or therapist, or invested in yourself in any other way? If you haven't - thats okay too!!
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7
How motivated are you to overcome this challenge?
*
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1
2
3
4
5
6
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8
9
10
Couldn't be bothered..
This needs to change, NOW!
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8
If I can help you, how soon would you like to get started?
*
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ASAP
In Near Future
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9
Anything else you'd like to share including any burning questions about your curiosity/desire to connect?
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10
What amount are you ready to invest in your transformation?
Please Select
$100-$500
Up to $1000 (1 month)
Up to $5000 (6 months together)
Please Select
Please Select
$100-$500
Up to $1000 (1 month)
Up to $5000 (6 months together)
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