ShaaniCreates Consulting Form
Questionnaire for clients regarding ShaaniCreates Consulting Services. Your information is submitted securely and will not be shared with a third party.
Email address *
Name (First Middle Last) *
Your answer
Date of Birth *
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Current Mailing Address *
Your answer
Telephone Number (xxx-xxx-xxxx) *
Your answer
How did you find out about ShaaniCreates? *
Are you teachable? *
How may we help you today? Please describe the assistance you need today. *
Your answer
Are you available to meet with ShaaniCreates during a video conference? Visit ShaaniCreates.com/connect to read about what to use. *
I understand ShaaniCreates consulting services does not replace medical care or treatment *
A copy of your responses will be emailed to the address you provided.
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