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Journey To Wholeness Application
1:1 Healing Mentorship
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Email
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Your email
Name (First & Last)
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Your answer
Email Address
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Occupation
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What are your intentions for our time together in your complimentary call?
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What are you healing from? (e.g. loss of a child, spouse, parent, divorce or other relationship, physical or sexual trauma, etc.)
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How long has it been since your trauma or loss?
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Briefly describe your vision for your life three (3) years from now.
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What is your current availability for calls?
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What healing work have you done in the past (e.g. books you've read, seminars you've attended, online courses you've taken, counseling/therapy, etc.)
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Have you done any energy healing work in the past? If so, please let me know what type of energy healing work you've experienced.
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What isn't working in your life right now?
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How committed are you to your healing at this time?
100% committed
75% committed
I'm not sure
I'm not at all committed
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What is your intention for your Journey to Wholeness experience?
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How did you find me? If someone referred you, please let me know who that was.
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