Personal Growth Concierge First Name First Last Name Last What is your biggest challenge in healing or fulfilling your purpose at this time? If you could wave magic wand, what is the number one result you want to experience? What obstacle(s) seem to be preventing you from achieving your breakthrough? What are you currently doing that seems to be helping you? How do you like to learn and grow? (Check all that apply.) Audios Videos Books Passive In-Person Events Interactive In-Person Events Webinars Guided Meditations One-on-One Private Sessions OtherOther Have you done any prior work with me? (Check all that apply) Read my book(s) Doing the Holding Courses Private Counseling Sessions Private Holding Sessions Personal Reading Ceremonies Apprenticeship Personal Sound Healing Recorded Sound Healing Membership Programs OtherOther None Which courses have you taken with me? (Check all that apply) Breakthrough Healing System SHE - Doorway to the Divine Sound Healing for Wellness Healing the Inner Child Mystic Dreaming 10 Emotional Needs of the Soul Secrets of the Sacred Feminine OtherOther What kinds of work with me are you most interested in that are currently within your financial means? (Check all that apply.) * Private Counseling Private Retreat (in-person or virtual) Semi-Private Retreat (in-person or virtual) Vision Quest Audio and Video Courses Audio and Video Courses with Group Mentoring Live Webinar Course with Group Mentoring Other On a scale of 1 to 10, how committed are you to getting your desired results ASAP? Is there anything else you want me to know? Your best email address for me to respond to your application Would you find it beneficial to have more specific guidance in a complimentary one-on-one strategy session by phone? * Yes, please No, thank you (While I can't guarantee my availability for a private strategy call, I will see as many qualifying applicants as time permits.) If you are human, leave this field blank. Submit
