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Rebel Queen Codes Form
Hey gorgeous! I'm so happy you're here & feeling curious about working together 1:1.
Please complete the below form, I'll reach out to you to schedule a quick call to discuss further.
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Email
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Your email
First and Last Name
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Your answer
Cell number
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Your answer
Please add links to your socials (IG / FB)
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Your answer
How did you hear about me? If you were referred by somebody, please let me know so that I can thank them.
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Your answer
Describe the issues you are currently facing
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Your answer
What methods have you already tried to solve these issues?
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Your answer
For this to be the most worthwhile investment you've ever made, how would you be changed after working with me?
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Your answer
What will happen if you do nothing?
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Your answer
On a scale of 1-10, (1 = not at all, 5 = it’d be nice if it fell in my lap, but I’m not that bothered, 10 = I’m so ready for change to happen NOW), how committed are you?
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Not at all
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2
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5
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10
I’m so ready for change to happen NOW
What concerns (if any) do you have in hiring me as your guide?
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Your answer
Which option are you most interested in?
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REBEL QUEEN 1:1 Luxury Retreat in Austin TX
REBEL QUEEN Online NLP + Time Line Therapy sessions
Anything else you think I should know?
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Send me a copy of my responses.
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