Sacred Empowerment Package Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
What is Your Time Zone?* This field is required.
EST
CST
MST
PST
Other
5
How long ago did your loved one(s) transition?* This field is required.
6
Please share why you're interested in one-on-one support from me (i.e. What would you like to have experienced when our time together ends? What are you seeking support for?, etc.)* This field is required.
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7
Please check any topics that you're interested in:* This field is required.
Learning how to connect with my loved ones in Heaven
Support for living after loss and navigating grief
Finding meaning and purpose in life
Revitalizing your energy/becoming more balanced
Other
8
What is your biggest challenge right now?:* This field is required.
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Is there anything you think would be helpful for me to know before we meet our first session? If so, please share below:
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This package includes 5 virtual support sessions with me (60-75 minutes each) to be used within a 5-month period, plus exclusive tools and exercises. Sessions are conducted via Zoom video conference during business hours on EST. Please confirm you understand the timezone and internet requirements: * This field is required.
Please Select
Please Select
YES, I understand that sessions are conducted via Zoom video conferencing, I have access to a computer/internet, and I will be able to book my sessions during the available business hours on EST.
11
The tuition for this program is $1,500 (or 3 monthly payments of $555). Are you in a position to invest in this program now?* This field is required.
YESNO
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