Breakthrough Consultation

Hello and welcome to the NLP Breakthrough Consultation! We're about to embark on a journey to decode and conquer whatever challenge you're facing. This form is your passport to sharing the ins and outs of the puzzle you're dealing with. What's been on your mind? We'll craft a strategy to navigate those waters.

Now, a little about me—I'm your NLP Master Practitioner, specializing in Neuro-Linguistic Programming. Think of it as your personalized toolkit for understanding and transforming the way you think, communicate, and tackle challenges. We're talking about enhancing communication, breaking through barriers, and creating positive shifts.

Ready to make some magic happen? Drop your details below and let's get this NLP Breakthrough started. Your success story awaits.

Email *
Name *
Email *
Phone

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What area of life do you want to breakthrough?*
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What is the problem?*
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For how long has this been a problem?
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What have you done about it?
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Did the things you previously did work?
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The 4 Requisites for Change (just read over these)

1. Release Bagged: Unresourceful Emotions, limiting beliefs

2. Create a Compelling Future : Desired outcome, future memories

3. Take Action: Immediate and Massive

4. Focus on what you want: Future Self, Desired outcomes

During your Breakthrough Session, as a practitioner, we will be completing steps one and two together and creating a plan for step 3. As a client, it is up to you to complete steps 3 and 4.
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How intense are your feelings that are associated  with the problem?
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No feelings
Intense and affecting my daily life
Please Click all that apply
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Required
Do you want to let go of this Problem?
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Are you at cause for the creation of your problem?
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Have you ever had an experience where you knew someone was capable of far more than they knew even though everyone else could see it? 

Have you ever heard someone say “I'm my own worst enemy?”

Do you do this to yourself and where does it show up in your life?
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How will you know that the problem has disappeared at the end of our sessions? What will you see, hear, feel, and say to yourself when the problem has disappeared?
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What will happen if you get your outcome?  What will you feel?
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How will your family/business associates react to you letting go of your problem?
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We may give you some tasks before we see you. You MUST do those tasks or we will not see you. Do you understand?
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Are you currently seeing other licensed healthcare professionals in regards to this problem?
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“Do you understand that this is alternative therapy?” That means that I am a legal Complementary Health Care Provider, and Not a licensed Medical Doctor, Psychologist, Psychiatrist, Master’s in Family and Child Counseling, or a Master’s in Social Work. The self-regulated holistic treatments and client-centered disciplines that I am trained in, and in which I have experience include, consulting and NLP Life Coaching, Mental and Emotional Release®, Neuro Linguistic Programming (NLP), and Hypnotherapy.

Please Type your name below to Agree.
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In order to complete your session, You must complete this task. 

Read (at least) Chapters 1-4 of the book MER by Dr. Matt James. This will give you an understanding of the release process we will be doing during breakthrough. 

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Do you have any additional questions?
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