[Application] Free Empowerment Session
Hi! I am Rita and I specialize in helping successful women let go of their past, so you can create a life you love.

To apply for your Free Empowerment Session, just answer the questions below.
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Email *
Why is creating a life you love so important to you?
How concerned are you about "staying stuck" and living a life of quiet desperation?
Not At All Concerned
Extremely Concerned
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What will it mean to you and your family if you create a life you truly love?
Spots are very limited in my coaching practice, and I only work with women who are committed to letting go of their past so you can create a life you love. Question: On a scale of 1-10, how committed are you to  letting go of your past so you can create a life you love (1 =Not Committed, 10 = Extremely Committed) *
Are you willing and able to invest in your mental and emotional health, so you can create a life you love, without putting financial stress on your family? *
What is your name? *
What is your best Email Address? *
What is the best phone number for you, so I can send you a text message about the status of your application? (Optional)
Anything else you want to tell me? Anything else you want me to know about you when reviewing your application?
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