Breakthrough Session Application
Thank you for taking the time to answer just a few short questions. They will help me serve you better during your session.
What's your first and last name?
First Name
Last Name
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What's your email address?
example@example.com
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On a scale from 1 to 4 (4 being greatest and 1 being least) how important is it to you to find a special man?
1
2
3
4
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What would you like to see happen in your love life in the next 6 months? (What's your relationship goal?)
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Why do you believe you haven't reached your relationship goal yet?
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What's your profession and do you think it's been a hindrance in finding that special someone?
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What have you tried so far to meet a special man for a committed relationship?
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Is there anything else that's important that you'd like to share for your call? (Note: I'll call you at the number you provide.)
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Thank you so much! Click submit to choose a time that works best for you from my calendar.
Submit
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