Application form
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Do you feel comfortable in your skin? *
Required
If no tell me more about why you don't think you feel comfortable in your skin? *
Briefly describe your biggest challenges when it comes to living the reality you want? *
Why is living the reality you want to important to you? *
Tell me how comfortable you feel within yourself right now? What are the challenges you are facing? *
On a scale of 1 - 5, 5 being the highest how important is it for you to get this solved now *
What area do you feel you need the most help with right now *
If you selected other please specify below
How much do you plan on investing in self development this year?
Clear selection
I require a time investment of at least 7 hours a week to maximize results. Are you able to allocate this time right now? *
If your application is successful, how soon would you want to start working together? *
Based on your current budget, if what I offer you could make you feel comfortable in your skin to start living the reality you choose, would you have a budget of at least $700 to make it possible? *
If you answered no, would a payment plan over 3 months make it possible? *
Aside from you is there anyone else responsible for making financial decisions about your life, or are you the sole decision maker? *
What is your name and surname? *
What is your phone number? *
What is your email? *
Where did you hear about me? *
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