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CLIENT APPLICATION FORM
Apply for Transformational Session Work with Janie Michael
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Name
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Mobile Number
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Age
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Country
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Email
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Social Media account/Website Link
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What kind of sessions/journey are you applying for?
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Transformational Facilitation over Zoom or Skype
In-Person Transformational Facilitation (available only in Munich, Germany or Graz, Austria)
In-Person or Zoom/Skype Intensive
Training in Energetic-Emotional Release Work (for coaches & facilitators only)
Other-please state below
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What is your intention for working with me?
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What are you feeling challenged about currently?
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Do you have any history of physical or mental ailments? If so, please list them below
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Write here anything you feel is relevant in relation to working with me.
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