Energetic Struggle Stopper Application
Instructions
Please take a few minutes to fill out the form below. I am looking forward to replying to you soon! If you need more room for your backstory, email it to: LawyerTanya@yahoo.com Subject Line: Full Story for "Your Name". Yes. I want the whole story so I can help you better.
What area of your life do you want to make the biggest change in right now?
Health
Career
Financial
Romantic Relationship
Relationship with Self/Sense of Self Worth
All of the Above
Other
Why, (in your opinion), do you feel you have not been able to change this?
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How important is it for you to make this change in your life right now?
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Most Important
Very Important but Not The Most Important
Not that Important
Unimportant
What exactly do you want your life to look like?
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How important is it for you to make this change in your life right now?
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Most Important
Very Important but Not The Most Important
Not that Important
Unimportant
What have you done, in the past, to resolve your challenges and/or achieve your goals in life? How well did those approaches work?
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What is your greatest fear in your life/career/relationship?
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On a scale of 1 to 10 with 1 being "Very Unlikely," and 10 being "Highly Likely," if you do NOT act, how likely is it that your greatest fear will happen?
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Enter a number between 1 and 10.
Are you open to using various spiritual tools, in addition to traditional ones, to produce results and to help you make the above changes?
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Yes 100% Lets Do This!
I think so I just have a couple questions I would like answered.
No
List any of the different tools you've used below. Some Examples: Prayer, meditation, affirmations, cards, crystals, connecting to nature, astrology, numerology, colors, asking for signs, purchasing readings, breath work, frequencies, animal signs or energy work.
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Are you willing to read all assigned prep work and return your notes in advance of our call and invest $44 in your healing?
Yes! I will prep and invest in my own healing to break free.
No, I do not want to.
Name
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First Name
Last Name
What is your current Career/Profession/Business?
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Email
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example@example.com
Where do you live? City, Country, Time Zone (Important!)
Phone Number
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-
Area Code
Phone Number
Submit
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