Coaching Application Form
Please answer the questions below.
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Email *
Name *
First and last name
Date *
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DD
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YYYY
Phone *
What brings you here? What would you like to create/manifest/achieve? *
What area or what issue is causing you the most difficulty in your life, right now? *
What do you really need to change about it? *
What is your biggest obstacle to achieving this? *
Is there a part within you that knows you have more potential than you are currently living? *
What is your perspective about your mind and your thoughts and how they relate to what you want to manifest? *
If I could wave a magic wand over the next 2 months and you were well on your way… what would your life be like?  *
What would you see, hear, feel and be doing differently? *
Why do you feel that you would be a great candidate for working with Heather in the subconscious and superconscious mind space? *
Please add any other information that you feel would be relevant for Heather to know.
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