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Keep Your Chill 10 Day Program
Pre-Questionnaire
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Age
*
Your answer
How do you feel right now about Christmas and Summer?
*
Your answer
How would you like to feel about Christmas and Summer?
Your answer
How do you feel about your body?
Your answer
Tell me about your journey with your SELF and your BODY in 2019?
Your answer
What is your 1 sentence, clear intention for the 10 day experience we will go on together?
Your answer
Did you select VIP? (I will contact you with a booking link to schedule your 1:1 session)
Yes
No
I didn't but I would like to upgrade my experience, please contact me.
Other:
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Thank you so much for your time. I cannot wait to spend the 10 days with you! YAY
xxx Elysia
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