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Welcome!
Thank you for your interest in wanting to work with me. Please fill out and submit this form to submit a request for a consultation session regarding what service(s) may best fit your particular needs.
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
What is your location (city, state, country) and time zone?
This will help with scheduling.
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4
What type of service are you looking for?
*
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Please Select
SheRises: Business Alignment & Summit Mastery Coaching
Multidimensional Mastery Coaching
1:1 Services
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Please Select
SheRises: Business Alignment & Summit Mastery Coaching
Multidimensional Mastery Coaching
1:1 Services
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5
Please share any information that you think would be helpful for your Alignment Call (e.g., current issues, patterns, stressors, etc.).
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This helps me to better understand your unique needs to find the best solution-service for you!
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6
Kindly provide 3-4 dates and times that you are available for an appointment. I will make every effort to accommodate one of your preferred options.
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7
How did you find/ hear about Transformative Healing?
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Friend (please provide their name below so I can thank them)
Internet
Facebook
Instagram
Summit/ Conference (please provide the name of the summit/ conference below)
Other (please specify below)
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Please Select
Friend (please provide their name below so I can thank them)
Internet
Facebook
Instagram
Summit/ Conference (please provide the name of the summit/ conference below)
Other (please specify below)
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8
Please provide the name of the person, summit/ conference, or other way of discovering Transformative Healing.
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9
Are you willing & able to invest in yourself, if it would dramatically start to improve your life and/or help you to overcome a major challenge?
*
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Yes! Let's do this!
Not sure, but I know I need to start making changes.
No, I am not ready.
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Please Select
Yes! Let's do this!
Not sure, but I know I need to start making changes.
No, I am not ready.
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10
If you said no and aren't ready to invest in your business, please let me know why. This can help me guide you toward services and resources that are more suitable for your current needs.
*
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11
Your Alignment Call with Kelly will be held via Zoom (camera on/off optional). You must be ready for the call. To make the most of our call together, please do not drive in the car, be in a noisy place, etc. to help minimize distractions. Will you be ready in an environment with minimal to no distractions?
*
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Please note that if you are more than 5 minutes late to your scheduled appointment, your session will be cancelled, and you will need to put in another request.
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Yes, I understand and will be ready for the call!
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Please Select
Yes, I understand and will be ready for the call!
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12
This is a consultation call to discover what service(s) best fit your needs. It is not a free session.
*
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Yes, I understand this is a free consultation and not a paid session. I understand that we will only be discussing what services best fit my needs.
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Please Select
Yes, I understand this is a free consultation and not a paid session. I understand that we will only be discussing what services best fit my needs.
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13
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