Consultation Request

CONGRATULATIONS!!!! You are making choices towards getting what you want in life! I celebrate and you am excited for your next steps.

Thank you for deciding to take action and request a free consultation.

Just by filling in this form and applying for this session you beginning the process of transformation, you are deciding to actively invite change into your life.

This consultation session is designed to help you get clarity about your vision for a joyful, fulfilled life and career, identify your mindset blocks and to give you a real life experience of what it’s like to work with me.

My goals is for you to feel a noticeable shift while we are on the phone together.

At the end of the session, and only if I feel that I am the right guide for you, I will invite you to experience the Breakthrough Program that is most suited to your needs and goals.

As you begin answering the questions below, notice any resistance you feel and recognize the old patterns you are actively breaking and the NEW pattern you are actively creating.

I look forward to connecting with you.

Name *

First

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What results would you like from this session? What, specifically, do you want that you do not currently feel you have?

This is where you WANT to be

Specify your present situation. (Where are you now?)

This is where you ARE now

What obstacles (or problems) are keeping you from achieving what you stated above? You can list as many as you want, let it flow from your unconscious mind as a stream of unconsciousness.

How do you know these are problems/obstacles? How are they impacting your ability to achieve your desired outcome?

For how long have you had these blocks and what have you done about them? Did the things that you did previously work?

Why do you want to let go of these obstacles?

What will happen when you get your desired outcome stated above? What will you feel? How will your family (associates) react to you letting go of this/these blocks.

What will happen if things stay the same and you don't get your desired outcome stated above? What will you feel?

What do you know you have to do in relation to these obstacles that you do not want to do?

How intense are your feelings which are associated with the problem on a scale of 1-10?

1 = no notable feelings 10 = strong feelings

On a scale of 1 - 10, (10 being ULTRA committed), how committed are you to experiencing breakthrough in your life and finally letting go of what is holding you back?

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