Elite Healing Excursion-A 2 Day Virtual Experience Dedicated To Your Transformation
Brought to you by Heal with Hina 
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Full Name *
Cell Phone number: *
State of Residency/Time Zone *
Anything about yourself you would like to share? Age/marital status/profession/main struggle *
Do you experience any of these? (Choose all that apply) *
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If you have UNLIMITED* access to coach Hina Fatima during the 2 day excursion, what would you wish to achieve? (* 8 hours of laser coaching, 45 minute intention setting call, two 45 minutes follow up calls two weeks apart)
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Are you ready to invest in your mental/emotional health? *
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Dates Available (Pick one) *
Disclaimer: I understand Coach does not claim to diagnose, treat, or cure a mental illness.  *
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