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Strategy Session Form
1) WHY: For a powerful session, let Coach Stacey know how she can assist you.
2) TIME: It will take approximately 10 - 15 minutes to complete.
3) SCHEDULE SESSION: Upon completion, you will be directed to schedule your session.
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Consultation Form [Will Take Approximately 10-15 minutes to Complete]
If you’re DONE playing small, and you WANT CHANGE NOW, click “START” to get your transformation going.
Date
*
MM
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DD
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YYYY
First Name:
*
Your answer
Last Name:
*
Your answer
Email:
*
Your answer
Phone/Cell # (United States ONLY):
*
Your answer
What is your Skype ID?
(For international inquiries ONLY.)
Your answer
If outside the United States, what city and country do you currently reside?
(For international inquiries ONLY.)
Your answer
Which issue is MOST important to you?
*
Get the Guy! Be in NEW relationship
Keep the Guy! Improve existing relationship
Inspire your man to give more time, attention and pampering
Improve sexual skills
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