Application for Mission Unblocked: January 2022
Thank you for your interest in Mission Unblocked!

Please take your time and answer thoughtfully, as I only work with individuals who are highly committed to their progress and growth.

Once I receive your form, I will be in touch with a response. If I believe you can deeply benefit from this program, we will schedule some time to discuss working together.

***Please make sure you type your email address correctly; otherwise, I will not be able to get in touch with you.***

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Email *
Your Name *
Phone Number *
Your Age *
Gender *
Today's Date *
Your Location and Time Zone *
How did you hear about Mission Unblocked? *
Your Occupation *
Please list your business website and business social media handles below, if you have them. *
Private hypnosis and coaching sessions are scheduled on Thursdays and Fridays, between 11am-5pm EST. Will you be able to commit to sessions within these timeframes? *
Our weekly group calls for the program are on Wednesdays from 12-1:30pm EST, starting January 12 and ending March 30. Will you be able to make most of these calls live? (Replays are available, but I'd like to know how this works with your schedule.) *
Tell me a little bit about where you are in business. What do you do, how long have you been doing it, and how is it going? *
What are the three biggest things that hold you back in business? (E.g., imposter syndrome, confusion, money blocks, fear of being seen, etc.) Please give me as much detail as you'd like. *
What would you like to change in your business, and in yourself? If you could imagine yourself and your business 3-6 months from now, what would be different? What would REALLY excite you? *
Please tell me why you are interested in working with me, personally. Why do you think we would be a good fit? Why do you feel drawn to working with me? *
RTT hypnotherapy is a powerful tool, but it does require commitment on your part. You will need to listen to your recordings daily for 21 days, and you will also need to take action toward the changes you want. This is not a passive process, and I cannot "fix" you, though I do a damn good job of helping people unlock their inner greatness. You must be willing to show up to this experience fully. The degree to which you are "all in" will determine your results. Knowing this, how ready are you for change, and do you have any hesitations? *
The investment for Mission Unblocked is $2500, or 2 payments of $1300. Are you able to invest at this time? *
Is there anything else you feel called to share or think it would be helpful for me to know? *
Thank you for taking the time to fill this out!
I will be in touch within two business days. Please click "submit" below.

Holly Higgins, RTT, FNTP
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