Emotional Influence - Gift Session Intake Form
Be as brutally honest as you can be with yourself. The deeper we get, the more of a difference we can make during your session.

The following questions are confidential and will never be shared with a 3rd party for any reason, unless you request it.

Once you've finished with your answers, submit the survey and you'll be given a link to choose whichever time works best for you for your gift session.
Email *
How would you rate your current level of social influence? *
Most people don't treat me like I matter at all. I am frequently ignored or overlooked or talked over. I am always sacrificing for others but rarely get the same in return.
I'm on a first name basis with Keanu Reeves, we BBQ together every Weds. When I speak, people who aren't even part of the conversation pay attention. It's easy and natural for me to make new friends and lovers no matter who I'm talking to.
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