JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Deep Dive: 6 or 12 Month Exploration
Congratulations for applying to Deep Dive! This application process is to ensure that this program is a good fit for you as well as me as your guide through this process of knowing your energetic blueprints and creating a vision for life for the next 6-12 months.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What was your full name at birth?
*
Your answer
Your full name now (if different)
Your answer
What is your date of birth?
*
Your answer
Time and location of birth? (used for your Soul Realignment and Manifesting Blueprint access)
*
Your answer
Best phone number to reach you
*
Your answer
How did you hear about me? (friend, google, facebook etc)
*
Your answer
Have you had either a Soul Realignment or Manifesting Blueprint done before? If yes, can you provide the details of both? If you've had them done but dont have the information or access to them, let me know and we can sort it out.
Your answer
What is your intention for joining this program? What are your goals for the next 3-6 months, or 6-12 months by working with me?
*
Your answer
What patterns in life have you noticed that you have not had success shifting?
*
Your answer
What courses in spiritual/intuitive education have you done so far?
*
Your answer
Are you willing to hear another way, another point of view, and rewiring any limiting beliefs? Explain why.
*
Your answer
Are you open to taking new action?
*
Your answer
Are you open to being committed and accountable of what you're able to complete? What would hold you back from doing so if that is a concern?
*
Your answer
Are you willing to fully open up to me and let me support you, even in the uncomfortable parts of trying new action steps? Why/why not?
*
Your answer
What is the most important thing to you in a high level container? (support, tools, holding accountable etc)
*
Your answer
If it is an aligned fit for us both, are you willing and able to invest $4497 6 months or $8497/12 months (payment plan available)
*
Absolutely - let's goooo
Not right now but within the next 3-6 months
No
Other:
If the above is yes, do you have an intention for what you'd like to create or manifest within the next 3-6, 6-12 months? Please share.
*
Your answer
By typing your name into this bar, you are acknowledging everything in this form is accurate and truthful.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
