Soul Life Mastery Application
  • Healing Pathway Exploration Intake

  • Greetings and thank you for coming to the intake page.

    The Tikkun Path is VIP training for successful people who want individualized expert attention and guidance to bring them to the next level in life. The Healing Pathway Exploration is a one-time session where you get clarity on how to best approach your challenges, begin to unpack the key questions, and explore whether we want to continue working together.

    In both cases, this is important and transformative work if you are navigating a health crisis, striving for greater success or satisfaction in life, or looking to live with more connection, clarity, coherence of body, heart, mind, and soul. 

    The Tikkun Path offers a practical but spiritual approach to healing and growth in alignment with your highest values and soul's purpose.  However, it’s important to note that this program isn’t for everyone

    The purpose of this intake is to get a snapshot of your goals and current situation, to inform our first meeting, and help us zero in on the most important issues.

    After you complete this form, you might become aware of other things you would like to share. No worries, take some notes and bring the issues to our first meeting.  

    (Please note, this document is hosted on a HIPAA compliant system to assure your privacy. I will treat your information with utmost confidentiality and professionalism.)

    If you've made it to this page, you likely have already scheduled our first meeting. If not, or you have logistical concerns, please reach out to my office at office@drshiller.com, or by whatsapp at 972587890369

  • Date of Birth
     - -
  • Format: (000) 000-0000.
  • Whats Happening For You and How Is Your Life Right Now?

    How would you rate your satisfaction with your life and accomplishment in the following areas [ 1 - Very dissatisfied, 2 - Dissatisfied, 3 - Neutral, 4 - Satisfied, 5 - Very Satisfied]
  • What Do You Want To Accomplish?

  • How Committed Are You To Success?

  • Rows
  • Soul Life Mastery includes weekly coaching sessions, home meditation and awareness practices, journaling, and possibly other practices. These are all designed to enhance your alignment with your inner truth and your practical concrete success. This is real transformative work. The benefits are proportionate to your efforts and can make a huge difference in your life. How much time can you commit, on a weekly basis over a three month period, to coaching sessions, home practice, and other necessary activities?*
  • Rows
  • Thank you for completing the application.

    When you click "submit" I will be notified and will review your application within a few days. I will be in touch with you at the email you entered above about the next steps. If you need to reach out about the application in the meantime, the best way to do that is at office@drshiller.com.

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