Complimentary Consultation
Complimentary Consultation with Sigal Zoldan.

If you landed on this form it's because we met somewhere online or in-person, you watched one of my videos or read one of my articles or posts and you wish to explore the option of working together.
The purpose of the complimentary consultation is to find out:
1. If I can assist you with either your challenges or goals.
2. To see if we are a good fit for one another.
3. To give us the time to explore the above in a way that is not committing us to anything (yet...).

Please fill out this questionnaire to the best of your ability if you are serious about looking for guidance with the issues you are experiencing at this time.

Just to let you know, this is not therapy replacement.
If you seek professional therapy please consult with your health care provider.

BE SURE TO HIT THE SUBMIT BUTTON ONCE YOU ARE DONE.
After you submit your questionnaire I will review it and contact you within 2 business days with options to schedule your 15 minute consult.

Enjoy filling the questionnaire, and I look forward to being your guide in making your dreams come true, because with a a little help - they do :)


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Email *
Your Full Name *
Your cell no. including area code *
Your email address *
Please share what are the top 3-5 challenges resolve/overcome/heal (physically, mentally, emotionally or energy related). *
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Please share what are the top 3-5 goals that you wish to achieve (physically, mentally, emotionally or energy related). That is - once those challenges above are gone, what is your true goal or desire. *
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Please share if you tried anything up to this point in time to resolve/heal/overcome the above. If you did, please describe what you have tried, If you didn't, simply not that you haven't. *
On a scale of 1 to 10, how eager and committed are you in resolving/breaking through/healing one or more of the challenges you mentioned above and/or achieving one or more of the goals or desires. *
Are you in a financial position that allows you to invest in a process of regular sessions to overcome your challenges and/or achieving or goals and desires? (That means that you have a source of income or financial support). *
If you would have a magic wand, where would you like to see yourself in 6 to 12 months? *
What's the preferred way to send you communication? *
Required
Do you use Facebook? *
What's your Facebook name if you answered YES in the previous question?
Anything else that you wish to communicate with Sigal at this point?
Just click "I got it" button and then click on the SUMBIT and you are all set. *
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A copy of your responses will be emailed to the address you provided.
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