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Michelle's Coaching Intake Form (Heal Little Me)
Please answer the following questions. Everything written is completely confidential .
You are filling out an application to figure out if you are a good fit for Michelle's Heal Little Me Coaching Program
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Your full name, email, phone number, birthday
Your answer
How did you hear about working with me?
Your answer
What are your current spiritual practices?
Your answer
What medications or supplements do you take?
Your answer
What are you top three goals in working together?
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What does a "perfect day" look like to you? Please share below your dream day starting from waking up in the morning to going to bed. Please be specific.
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What's your Instagram handle?
Your answer
This is a 4 figure investment
I can pay in full $2300
I need a 3 or 4 month payment plan.
I cannot afford this.
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Anything else you want Michelle to know at this time?
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