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Question 1 of 13
Phone Number
Question 2 of 13
State and City of Residence
Question 3 of 13
What is your intention for receiving my guidance?
Question 4 of 13
What is your number one pressing problem or concern right now that you would like help with?
Question 5 of 13
What are the three biggest obstacles preventing you from having what you want in your life?
Question 6 of 13
Are you currently taking any medications for mental health issues?
Yes
No
Question 7 of 13
Do you have any drug or alcohol related addictions?
Question 8 of 13
Have you ever received personal guidance, coaching or therapy?
Question 9 of 13
If yes, have you worked with a life coach, spiritual guide, psychologist, psychiatrist, and/or therapist?
When and length of time with each?
What was your personal experience with each type of support?
Question 10 of 13
How would you describe your personality?
Question 11 of 13
Why are you drawn to me for guidance?
Question 12 of 13
Are you willing to invest in receiving support and guidance right now?
Question 13 of 13
How did you find me?