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1
Name
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Name
Surname
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2
Email address:
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example@example.com
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3
What areas of life are calling for transformation / expansion right now?
(Share a little bit about your relationship to: Yourself, family, love/sex, community, work, money, health, spirituality, fun, play & creativity...)
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4
What kind of challenges / blocks have been preventing growth in these areas?
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5
Describe what life would look like when you've moved through these challenges and opened to a new level of being?
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6
How do you want to feel?
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7
Why is it important to do this work right now?
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8
Are you willing and ready to believe in yourself and what you're truly capable of?
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9
What's your birth date, time & location? I will use this information to explore your Human Design / Gene Keys information. Everything is kept confidential.
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10
What transformational work have you experienced in the past? Please tell me a little bit about what has and has not worked for you?
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11
How long would you like to work together? Is this something you'd like to do week to week, bi-weekly, once a month? Let me know your ideal vision.
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12
What kind of contact would you like to have?
Video sessions only
Video with voice notes & msgs between sessions
Video with email communication between sessions
Voice notes & messages only (low cost version)
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13
What's your budget for this kind of investment?
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14
Please share your highest vision & intention for doing this work:
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Write your desired outcome - (ie: To get out of my own way and be of service to others by doing what I love!)
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15
and lastly, I would love to know... what drew you to working with me?
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