FREE 1:1 Healing Beyond Limits- Strategy Session Application-2026
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Where are you currently on your healing and spiritual journey?
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I am open but this is all new to me.
I am a searcher. I am open to new healing modalities. I believe we are all here for a higher purpose, and I am here for it!
I have experienced energetic healing modalities. I am actively working on raising my vibration. I meditate. I am cognizant and recognize the signs and synchronicities the Universe is sending me. I am looking to expand my connection to my body for healing and the Universe for support in fully aligning to my higher self and purpose.
What are you hoping to gain and/or release as a result of our time together?
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What is the one thing you wish you could change about your life?
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How would your life be different if you could make this shift / change / transformation?
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How comfortable are you with taking risks?
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I am comfortable in my routine
I occasionally try new things, but it can cause me anxiety
I am a risk taker! Bring on a new challenge.
I am open to new things but have a hard time sticking with significant changes.
Other
If you marked "other", please explain:
What is an accomplishment in your life that you are proudest of achieving?
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Using a scale of 1-5, with 1 being: I am skeptical that coaching and healing work will help me, and 5 being: I completely believe, as a result of being in this coaching program, I will see and experience benefits and healing beyond my expectations. Where are you currently in your openness to receive?
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Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Please explain rating:
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Are you willing & able to invest in a coaching program to work with me, if it would dramatically improve your life and/or help you to overcome a major challenge?
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Is there anything else you would like to share about your situation or what you would like to gain and/or release during our call?
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