Application to work with Pleasance
please fill out & I will be in touch if it's a good fit
* Required
Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
Your answer
Tell me how I can help you? What's going on with you?
Your answer
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.
Your answer
What thoughts (if any) keep you up at night?
Your answer
Have you ever worked with a private yoga teacher/ trainer or healer or coach before?
Your answer
What is the biggest barrier you have (right now) in your life that prevents you from making the changes you want to?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Forms
