The Academy for Intimacy
Thank you for taking the time to fill in this quick questionaire. This is an opportunity for me to get to know a little bit more about you and see how we might fit together. I'll be in touch within 48 hours. Until then be well and thanks for being here.
What is your full name
Contact phone number & best times to call
What is your desired outcome?
What is your biggest challenge in regards to your desired outcome?
What is it costing you (time, emotionally, professionally) to be in your current situation?
How committed do you feel to making changes to reach your desired outcome?
ery low commitment
I'll do whatever it takes
Thank you! I'll be in touch soon to set-up your complimentary Discovery Call.
Send me a copy of my responses.
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