Application for The Divine Union Within Group Program

Application to talk with Susan to see if you're a good fit for "The Divine Union Within" Group Program

*Susan is happy to talk with you about enrolling even if you've talked with her before.
Name *

First Name Last Name
E-mail *

Address *

Phone Number *

Area Code Phone Number
Skype name: (optional)
Do you love and accept yourself unconditionally? If not, please say more. *
What are the biggest challenges you’re facing in terms of your relationship with yourself and/or others? *
Do you struggle with perfectionism? If so, please say more. *
Do you have a tendency to want to numb yourself out? *
Have you done shamanic journeying before? If so, with whom have you worked or studied with? *
On a scale of 1-10 how committed are you to becoming your own beloved and stepping fully into your power and truth? *
Scale of 1-10 ( 1 uninspired ~ 10 100 % COMMITTED! )
What might you hope to get from enrolling in The Divine Union Within Group Program? *
When you click Submit, the system will take you directly to Susan's scheduler, so you can book your call with her.
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