Application for 1:1 Breathwork & Coaching

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Kindly complete this questionnaire.

Email *

What country are you from? *

First Name & Last Name *

What is your ig handle? *

What is your working status *

Working a 9-5 & building a business

Self employed

Unemployed

Describe what is giving you a hard time right now. *

Why do you think Breathwork will support you ? *

What would you like to accomplish at the end of our sessions? *

Have you ever invested in your personal development via a coach before? *

Yes

Have you ever done revelation breathwork before? *

Yes

Other:

List 2 of your favorite songs that really speak to your soul. (Artist & name of song) *

Are you ready to invest your resources - time, money and effort? *

Yes

Other:

Do you experience any of these listed?

If yes to any of the above, then revelation breathwork may not be the most suitable for you.

Do consult your doctor first.

Important - Tips to ensure you get the most out of this call

1. Come to the call in a peak state.

2. Ensure that you are in a space with limited distractions & have a space to lay down.

3. Bring a pen and paper to journal after session.

4. Make a declaration to take the necessary steps to take you to where you desire to be.

This experience is for persons who are ready for support, accountability, confidence, alignment and are willing to devote themselves fully to their purest desires.

Send me a copy of my responses.

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