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Apply for a complimentary Stuck to Soaring Breakthrough Session
Welcome!
Everything you submit in this application is confidential; I'm the only one who will see it.
Please fill it out with as much transparency as possible--that will help me evaluate whether we're a match.
If so, I'll be in touch shortly.
Thanks,
Marisa
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Name
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Your answer
Email
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Your answer
How did you learn about Marisa's work?
Your answer
What motivates you to apply for a Breakthrough Session at this time?
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Your answer
Where in your life do you feel stuck or blocked right now?
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Your answer
What would you love to create in your life in the next year?
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Your answer
What obstacles or patterns have stopped or hindered you so far?
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Your answer
What are your go-to healing or self-care modalities (for example: therapy, meditation, yoga, inquiry, dance, journaling, etc)?
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Your answer
On a scale of 1-10, how motivated are you to reach your next level of fulfillment and freedom?
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Meh
1
2
3
4
5
6
7
8
9
10
I'M SO READY!!
In terms of financial resources, which option describes you best?
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I do not have any financial resources available right now; I'm just curious
I have financial resources available and am willing to invest if it's a fit
I have resources, I'm looking for an immediate solution, and I'm ready to move forward
Phone number
(this session will be over the telephone unless you are outside of the U.S., in which case it'll be on Whatsapp or Zoom)
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Your answer
Anything else you'd like me to know?
Your answer
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