Consultation Application
Please take your time and fill in this form as thorough as possible so we can get a better understanding of you, your needs and how we can support you. Please note that we will reach out to you through either WhatsApp or Telegram with the details of your consultation. Lots of love! /Sara & Simba

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Email *
Name and age *
Telephone number (INCLUDING COUNTRY CODE) to WhatsApp or Telegram where we can contact you after you have filled in the form. *
Please specify the country code for the phone number you use for WhatsApp or Telegram so we can contact you.

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Where would you prefer to be contacted? 
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Country of origin *
Current location *
Please share how you came in contact with us or our work? How did you find us? *
How long have you been following us and our work? *
What is it about us that resonates with you? *
Please describe your symptoms or the discomfort you are experiencing.
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What have you tried previously that DID NOT work to support your situation? 

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What have you tries previously that DID support your situation? *
What type of support are you looking to get? *
What is the result/s your are looking to get? *
What type of recourses are you willing to invest to achieve the result/s? Time, energy, money, commitment, practices etc? *
How dedicated are you to your investments? Please rate your dedication from 1 to 10, 1 being the lowest and 10 being the highest level of dedication.  *
What type of products are you interested in? *
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Would you like to be added to our email list to receive or information about offers, campaigns and new releases?  *
To move forward to the next step in the process, please send us a message on WhatsApp or Telegram and let us know that you have finished the application. Please send your message to this number: 
+66 (0)835573907  We will review and get back to you shortly with the next steps of setting up a personal consultation. 

Where have you contacted us? *
Anything else you feel is important to share with us? *
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