Dr. Crystal Consulting Application
Please complete this form to express your interest in joining our curated program and community.  Be sure to include what you have to offer to the community as well as what you would like to learn/gain/master so we can direct you to the correct path for you. 
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Please share your name, email and phone number?  For added discretion, feel free to use a first name or pseudonym only.   *
My current need for support is *
My net worth is
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My income generally is approximately...
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I am most concerned  about ________. regarding money? Choose all that apply. *
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If you could wave a magic wand and change one thing in the world, what would it be? *
What are the specific targets or milestones you would like to achieve by working with Dr. Crystal? *
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