Unleash Your Qi - Session Application
All responses are confidential.
Name *
Email Address *
Phone Number *
What are your biggest challenges when it comes to _________________ (the problem)? (Example: Any persistent health bodily or emotionally issue, financial or career situation issue, etc.) *
What have you tried to do to resolve ______________ (the challenge)? *
How did that work for you? *
What is not resolving ______________ (the challenge) costing you? *
How much longer are you willing to deal with _______________ (the challenge)? *
What do you want instead? *
What would your life be like if you were able to get ________________ (the solution)? *
On a scale from 1-10, how committed are you to getting ______________ (the solution)? *
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