Thank you for your interest in my work! 
I'd love to know more about you, so that our time on the call is used most effectively.
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How would you rate the quality of your life in the following areas: 

 
Emotions *

 
Body *

 
Relationships *

 
Sexuality *

 
Work *

 
Money *

 
Spirituality *

 
What do you most want to shift in your life today? *

 
What would you say is your biggest challenge around this? *

 
What has been the biggest block that has kept you from resolving this issue already? *

 
What is the cost to you if you do not shift this situation? *

 
What other areas of your life do you want to transform (if any)? *

 
How ready are you to step into your power and invite change into your life? *

 
How excited would you be for me to be by your side on this journey? *

 
What are your spiritual practices, if any? *

 
How did you hear about and what made you reach out to me? *

 
What else do you want me to know about you?

 
Full Name: *

 
Primary Email Address: *

 
Telephone Number:

 
Skype ID:

 
Skype ID (please re-enter):

 
Time Zone:

Thank you for taking the time to answer this questionnaire!  

I will review it and contact you back to schedule your Discovery Call, if it's a fit.


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