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* 1. Name

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* 2. Email Address

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* 3. Phone Number

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* 4. City & Country

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* 5. How can I help? Please let me know in a few lines.

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* 6. If any website, please share it below.

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* 7. Stepping into something new, like living your life from your purpose, usually requires change, learning and investing in onself. Change can be challenging. How open are you to change, from a scale of 1-10, 10 being the highest? Feel free to add any comments.

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* 8. What days and times could suit you for our session? An email will then be sent to confirm with online link to connect on audio or video for the chat.

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