Application to work with Pleasance
please fill out & I will be in touch if it's a good fit
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Name
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Address
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Phone number
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Tell me how I can help you? What's going on with you?
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On a scale from 1-10. How committed are you to making changes? 0- I don't have time, I've had these troubles for years. 10- something has to change it cannot continue this way. I'm ready to make changes and work on this now.
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What thoughts (if any) keep you up at night?
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Have you ever worked with a private yoga teacher/ trainer or healer or coach before?
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What is the biggest barrier you have (right now) in your life that prevents you from making the changes you want to?
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