Yes, I want my complimentary Break Through Into Love Session
Thank you so much for requesting a Break Through Into Love Consultation with me. Nice to meet you!

To help us both prepare for our conversation and to be sure we're a good fit for each other, I'd love to learn a little more about you and your desire for relationship.

I'll be in touch with you to either schedule your consultation or to recommend other resources that I believe will help you.

Name *
Your answer
Age *
Your answer
What's your email address (so I can reach you)? *
Your answer
What's your phone number? *
Your answer
What do you do for a living? *
Your answer
How did you hear about me? *
Your answer
1. What kind of relationship would you like to have in the future? (This could be six months, a year, or longer from now) *
Your answer
2. What are your biggest challenges around relationships and dating? What are you most looking for guidance and support around? *
Your answer
3. On a scale of 1 to 10, how important is it for you to overcome these challenges? *
It's completely unimportant.
It's the most important thing to me right now.
4. If your answer was seven or less, indicating that this is fairly unimportant, please tell me more so I can determine our next step.
Your answer
5. On a scale from 1 to 10, how ready are you right now to invest time, energy, and money to overcome these challenges and find love that lasts? (Note: it can take 6 months or more and several thousand dollars for an experienced coach to help you break the patterns that sabotage relationships so you can find love that lasts.) *
I don't have the resources (time, energy, money) right now.
I'm willing to do whatever it takes to attract and keep the relationship I long for..
6. If your answer was seven or less, indicating that you may not have the time, energy, and/or money to invest in receiving support, please say a bit more so I can better determine our next step.
Your answer
7. Anything else you would like me to know.
Your answer
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