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Basics please: what is your first name and Date of Birth? *

Your telephone number? *

What is the main focus of your life right now? *

Which area is challenging you the most right now? *

^In response to the last question : Would this be the main area that you feel you could most benefit from some support around? - AND / Or - Is there anything else that is important to you that you feel like you would prioritize getting support around? *

On a scale of 1 to 10, how confident are you in your Self? 

Do you trust your choices? (With food, with men, with money?)

Tell me about your relationship to Sex, intimacy, and sensuality. Are you connected? Do you want more connection? Can you have multiple orgasms?  *

What do you do for a living? Do you enjoy it fully? 

How comfortable are you in your body?

How satisfied are you with your present lifestyle?

Who is your hero and why?

Are you in a place where you're ready to financially support your greatness?

How does the idea of committing even deeper to yourself and your vision feel like?

Are you interested in exploring deeper?

What is your e-mail address? *

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