Request for Complimentary Breakthrough Coaching Session
Please complete this form to request for your complimentary breakthrough coaching session.
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Name (Legal First and Last Name) *
Your answer
Date of Birth *
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Telephone Number *
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Mailing Address *
List City, State, Zip Code, Country (if outside USA)
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Email Address *
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Name of Business *
If you do not have a business, write none.
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Website *
Please write the http:// prefix, along with your website URL. You can list multiple sites, if you have multiple businesses.
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Please schedule your 15-Minute Complimentary Phone Coaching Session using our online scheduler. Visit www.alisehealingcenter.com. *
If these times do not work, then please list your availability. You may be placed on a waiting list. Either way, let us know in the text box below your requested date and time.
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How did you find out about me? *
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Sketch out what you know of your own life purpose. What were you made to do? *
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Tell me a little bit about the issue you want to work on. What would you like to see a difference in your life and/or business? What concerns you or frustrates you about your present situation? *
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Considering where you are now in this situation, what would you like to have happen? What does what you desire look like? Describe it. *
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What inspires you to desire to change this particular situation in your life and/or business at this time? *
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What energy-drainers or attitudes may impact how you see potential for the future in this area? *
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In what ways do you sense that God might be challenging you, nudging you in a different direction, or trying to get your attention? What do you think God wants for you in this area of your life and/or business? *
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What other coaching, mentoring, or personal development programs have you participated in and what have you gained from these experiences? *
If this is your first coaching program, please write none.
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What would you want most from me as your coach and mentor? *
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What else would you like me to know about you? *
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