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First Contact Form
I'm honored that you've chosen to reach out. Please fill out the following questions and I'll get back to you asap with the next steps! Wishing you a luscious day. Xine XO
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Email
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Your email
What is your first name?
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Your answer
What is your last name?
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Your answer
What is the Email address you would like me to use?
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Your answer
Where are you living right now (city, country)?
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Your answer
Gender?
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Female
Male
Other:
What is your primary reason for seeking to work with me?
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Your answer
Are you ready and willing to invest your time, energy and money into a series of weekly-(ish) coaching sessions that help you make great strides towards achieving what you desire most?
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Yes
No
Other:
Are you available to have regular online sessions that require a steady internet connection in a private space where you will not be disturbed and feel relaxed in your body?
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Yes
No
Maybe
When would you be ready to begin working together?
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Your answer
A copy of your responses will be emailed to the address you provided.
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