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Intake Form
If this Intake Form is completed and submitted by a Client, the Client shall be deemed to have read the Terms and Conditions of our Services as well as the Contract in accordance with condition 4.1.
Please find the Contract on
www.nicoleolsthoorn.com/forestdreamcontract
Please find the full Terms and Conditions on
www.nicoleolsthoorn.com/terms
To finalise your booking for FOREST DREAM Oracular Reading:
1. Schedule a day and time that suits you in our online calender via
thecelticgoddess.youcanbook.me/
2. Complete your payment via
paypal.me/CelticGoddessLtd
.
3. Submit this Intake/Enrollment Form.
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Email
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Your email
First + Last Name
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Your answer
Date of birth
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Your answer
Occupation
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Your answer
In your own words: What is your main intend for booking a reading with Nicole? What would you like to get out of it?
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Your answer
What is the one thing you feel is missing in your life right now that you wish to experience more of?
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Your answer
How would it change your life if this desire was fulfilled?
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Your answer
On a scale from 0 to 10, how committed are you to achieving this?
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Very much so
What are 3 obstacles you feel are in the way between you and the fulfilment of this desire?
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Your answer
What do you feel is needed for you to clear these obstacles?
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Your answer
On a scale from 0 to 10, how committed are you to achieving this?
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Very much so
What do you currently feel your soul is calling you towards?
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Your answer
How aligned do you feel with this soul calling?
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To what extend do you allow your decisions in life, love and leadership to be guided by this calling on a daily basis?
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Very
How supported do you feel in living your highest soul calling?
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Very supported
How physically fit do you currently feel?
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Very fit
How satisfied are you with your current life-work-balance?
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Very satisfied
Anything you feel Nicole needs to know or you want to add in prepartion for the reading?
Your answer
By submitting this form you agree to having paid or paying the total fee in full to The Celtic Goddess (Ltd). Payments are to be done via
paypal.me/CelticGoddessLtd
at the time of booking.
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YES, I AGREE
By submitting this form you agree to have read the Contract as can be found on
www.nicoleolsthoorn.com/forestdreamcontract
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YES, I AGREE
By submitting this form you agree to have read the Terms and Conditions as can be found on
www.nicoleolsthoorn.com/terms
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YES, I AGREE
Are you interested in receiving Nicole's Newsletter? (You can unsubscribe any time.)
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Yes, please
No, thank you
Please sign and submit this Intake/Enrollment Form by writing your full name + current location + today's date below and clicking "submit" at the bottom of the form.
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