Complementary Clarity Call with Teresaa Stovin

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Thank you for filling out this application form for a complementary Clarity Call with Teresaa Stovin. Depending on your answers, you may be invited to schedule a 20-minute session that will clarify wheather or not Teresaa's Transformational Coaching is for you.

Email *

The information collected in this form is intended for private use only, and will be kept in strict confidence. All sensitive information will be permanently deleted once our work together is completed. *

I agree with the above statement

I do not wish to fill out this form

Your First Name *

Your Surname *

Your Phone Number *

Your Skype ID

Your WhatsAppNumber

Your Occupation *

Your Relationship Status *

In a relationship

Single

How would you state your current wellbeing? *

Awful :(

Amazing :)

What are the top 3 issues that are bothering you? Why do you think you have them? *

What are the top 3 changes you would like to make in your life? Include the positive end results, such as how you would feel and how your life would look. *

If you had a Magic Wand that could fulfill ONE wish for this session, what would that be? *

How committed are you to making the necessary changes to alter your limiting situation? *

Not interested at all

Fully committed

Finally, what is the reason that you are reaching out to Teresaa at this time, to get support through the Transformational Coaching? Please feel free to elaborate and be descriptive. *

Thank you for submitting this form. Please be sure to provide your primary email address, as will be contacted via email within 24-48 hours. All the best, Teresaa

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