The Body Talks Application Form

1
Please tell me your name* This field is required.
First Name
Last Name
2
and your best email* This field is required.and your best email?
example@example.com
3
How are you experiencing your health and wellbeing currently?* This field is required.
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What is your deepest longing for your health and well-being? Take a moment to close your eyes and tune in. Be as specific as you can - what do you see, feel, hear, smell and taste?* This field is required.
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5
What do you feel is most in the way of you achieving your health and well-being goals?* This field is required.
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Why is now the right time to change this?* This field is required.
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How committed are you to investing your time and energy into creating health and wellbeing in your life?* This field is required.
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8
The price of this program is £1399 or a deposit of £300, then four monthly payments of £300. To sign up for this programme, we ask you to transfer the (first) payment within 7 days. Is this possible for you?* This field is required.
9
Thank you so much for sharing all this with me. Do you want to add anything that I didn't ask about?
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