Apply to Work with Me
Thank you for your interest in working with me. Please complete the application and hit submit. After I review your application I will contact you via email with the next steps.
Full Name
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First Name
Last Name
Phone Number
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Area Code
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E-mail
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example@example.com
Name
First Name
Last Name
Phone Number
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Email
example@example.com
Applicant #1: What is your favorite body of water?
Lake
Ocean
River
Applicant #1: List 3 words that describe your favorite body of water:
Applicant #2: What is your favorite body of water?
Lake
Ocean
River
Applicant #2: List 3 words that describe your favorite body of water:
Please Answer the Following Questions Together as a Couple
What are your biggest challenges when it comes to the sex and intimacy in your relationship? (all responses are kept confidential)
Please describe your history with this challenge. What obstacles have been in the way of resolving it?
What programs, products, services or other solutions have you tried in order to solve this challenge and what have your results been?
What are your top 3 desired outcomes you'd love to experience as a result of working with someone like myself? Be as specific as you can.
Describe in detail how you have overcome a major challenge in your life. What was required of you emotionally, mentally, physically, spiritually? How did you overcome resistance? How did you succeed?
When it comes to investing our financial resources in our intimate relationship:
We have the financial resources to invest in a solution
We an free up or have access to financial resources to invest in a solution.
We don't have financial resources to invest in a solution at this time
If someone offered us the opportunity to invest in a high value program that could empower us to overcome our challenges in sex and our intimate relationship we would
Understand that is what someone would do if they were serious about getting help and making changes.
Feel hesitant at first but with a proven process I would do it because I am serious about making changes.
Avoid it at all costs because I prefer to do things on my own and as cheaply as possible.
If you had a fairy godmother who could sprinkle fairy dust over your life, describe in detail the biggest changes you would like to see happen
Why do you think you would be a good fit to work with me?
Is there anything else you would like me to know?
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