Application For Breakthrough Session
Please fill out the form below so I can prepare for your appointment. If I don't get an application back from you, your appointment is canceled.
Describe yourself, life, health and how it is affecting your life.
What are the 3 successes you most want to accomplish in your health?
What are the 3 challenges you most want to overcome in your health?
On a scale of 1- 10 (10 being the highest) How important is it for you to get these challenges solved?
How willing are you to currently invest in yourself and commit the time, effort and finances to improve your life?
I have the necessary time and financial resources I need to invest in my personal growth and health.
I have the ability to create the necessary time and get the financial resources to invest in my health.
I do not have the necessary time or financial resources to invest in my personal growth and health and I am fine exactly where I am.
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