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Application

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Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Which offer are you drawn to and why?

(One-off session, 2 months, 4 months, 6 months)

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Your answer

What are your goals in working with Colleen?

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Your answer

What would you like life to be like when our time together is complete? *Day dream a little :)

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Your answer

Please share any other information you would like Colleen to know about you.
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Your answer

Send me a copy of my responses.

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