Course Registration Form

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
Would you be happy to share your instagram handle?* This field is required.*if YES please type it below
5
Tell me about your CURRENT situation (business, life income etc.)* This field is required.
6
Tell me about your DESIRED situation (business, life, income etc.)* This field is required.
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Ok
7
What is the #1 most important thing you want to achieve right now?* This field is required.
8
What is your #1 biggest struggle in achieving that thing?* This field is required.
9
What is She Is A Holistic Manifestor going to enable you to do that you haven't been able to accomplish with your current circumstances?* This field is required.
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10
How long have you been thinking about taking action to achieve your desired situation?* This field is required.
11
How committed are you to do what it takes to achieve your desired situation?* This field is required.
1. Not committed
2. A little committed
3. On the fence
4. I really want this
5. I am 100% all in!
12
How willing and able are you to invest to receive this transformation?* This field is required.*A low 4 figure investment pay in full or 3 figures a month payment plan
a) I would pay £1000-£1500 for this transformation
b) I have access to the financial resources and can pay in 3 instalments
c) Other ( let’s chat)
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