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    Your Name (required)

    What Pronouns Do You Use

    Your Date of Birth*


    City*


    Country*

    Your Phonenumber - please include country code*

    Your Email*

    Your Website*


    Please Add Links & Usernames For Your Online Presence And Social Media*


    How Did You Hear About/Find Me?*


    Tell Me About You, Your Life, Business, Work & Purpose*

    How Long Have You Been In Business?*

    Roughly, How Much Money Do You Make In Your Business Per Year?*

    What Would You Like For Us To Cover During Our Time Together?*

    What Do You Find Has Been Tripping You Up?*

    What Make You Want To Call In My Support Now?*

    If I could Wave A Magic Want Three Things Do You Wish I could Magically Transform In Your Business? What Would Really Make A Difference?

    Tell Me About Your Daily Practices. Do You Meditate, Pray, Do Yoga, Work Out, Essential Oils, Crystals, Tarot, Numerology, Astrology, Human Design, Stand On One Leg For Hours etc. Let Me Know*


    What Tickles Your Soul And Makes Your Heart Sing?*


    Spill The Beans - Anything Else You'd Like Me To Know?*


    Are You Currently On Any Medication Or Have Any Medical Conditions? If So Please Detail It Here*


    What Type(s) Of Partnership Are You Interested In?*


    When Would You Like To Begin?*

    Our Partnership Requires Willingness To Do The Work, Time & Dedication - Are You Ready To Commit And Surrender To The Process?*

    **Payment Plans Are Available Upon Request