Intimacy Re-Boot Session With Maria Appelqvist, Ph.D. & CPCC
Thank you for your interest to apply for your Complimentary Discovery Session.
1. Completing this form is the first step in the process to reach your complimentary 45-minute session. Everything you share with me is of course confidential. If some of the questions doesn't apply to your situation, just reply n/a.
2. After I read your application, I reach out to schedule time for your 45-minute enrolment session. During this session we'll identify where you feel stuck and how I can help you.This initial session is valuable for me as it is to you in determining if we all want to work together, therefore it is free-of-charge.  
3. If my services of igniting you to take the leap into the exploration of going deeper feels like a good way for you to get what you're looking for and if we're all excited to work together, we'll talk logistics and discuss the financial investment.

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Email *
Name: *
Address: *
Mobile Phone: *
Your time zone *
Profession *
What motivates you? *
Please tell me about your relationship status. *
What are you struggling with? *
What would you like to have MORE of in your life? *
The biggest fears we have as human beings can be related to the areas of sexuality and money. It happens since these areas in your life is a mirror of how you perceive yourself and your value. What you avoid and not acknowledge within yourself will show up in daily situations. Another way of expressing this is, what we resist persists :)
Your subconscious mind is constantly trying to block you from taking the actions that ultimately will transform your life. Therefore the following questions are necessary:
What is your challenges and frustration in the area of love, intimacy and connection? *
Considering your sexual life, what is challenging? *
On a scale from 1 to 10 where 10 represents "Very Much" - How well anchored are you in your life purpose and contribution to the world? *
On a scale from 1 to 10 where 10 represents "Very Much" - How connected are you to your feelings? *
On a scale from 1 to 10 where 10 represents "Very Much" - How well can you give expression for and articulate your feelings? *
On a scale from 1 to 10 where 10 represents "Very Much" - How easy for you is it to give expression for your desire and yearnings? *
On a scale from 1 to 10 where 10 represents "Very Much" - How much do you love your physical body? *
Which of these programs appeals most to you?
Do you have (or will you manifest) the financial means for investing in your personal development, love life, and intimate relationships? *
Thank you for your honesty in answering these questions. Upon approval, you will get a link for scheduling your session in my calendar.

With Conscious Love,
Maria
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