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Remote Private Sessions Application

Fill out this form for applying for our work together.

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Question 1 of 7

Full name

Question 2 of 7

Your best email

Question 3 of 7

Declare what you intend to transform in your life:

Question 4 of 7

Describe the best outcome for you in this instance. How would you like it to be?

Question 5 of 7

Have you worked on this issue prior to now? And if so, how?

Question 6 of 7

Our work together will involve your participation. What is your willingness and level of commitment to your own transformation?

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 7 of 7

How were you called to work with me?

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