Transformational Breakthrough Session Application

Taking YOUR first step to

Personal Transformation!

This application will help me to know more about you!

This Transformational Breakthrough Session takes approximately 1 hour and is valued at over $165, however it will be gifted to YOU complimentary after we have discovered our compatibility to meet your goals. Please fill this out as carefully, honestly, and whole-heartedly as possible. Anything you share will be kept between us and completely confidential.

Transformational Breakthrough Session

Name

Email Address

What are the predominant feelings and emotions you experience on a daily basis? (ex- anxiety, depression, apathy, etc)

What are your personal and professional goals? What work have you done so far towards achieving/manifesting them?

What do you believe are the major blockages that you are currently experiencing?

Have you ever worked with a professional healer, coach, mentor, etc? If so, what were your results?

Do you set aside a monthly budget for personal transformation and self-care? (ex- counselling, healings, exercise, courses, etc)

On a scale of 1-10, how ready to make the changes necessary to achieve your goals? Please explain.

On a scale of 1-10, how open are you to receiving in your life, including assistance, guidance, or gifts? Please explain.

Is there anything else you would like me to know about you?

6 + 6 =