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Question 1 of 10

What is your full name?

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Question 2 of 10

Please share your email address

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Question 3 of 10

What is your phone number and best time of day to contact you?

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Question 4 of 10

What is currently going on in your life that inspired you to reach out now?

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Question 5 of 10

What would your best-case scenario outcome look like after working together?

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Question 6 of 10

On a scale of 1 to 10, how motivated are you to transform and create lasting change? (1 = Not Ready, 10 = Fully Committed)

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 7 of 10

What have you already tried to shift/heal in this area of your life? What worked and what didn't?

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Question 8 of 10

Have you worked with a coach, therapist, or healer before? If so, please share what that experience was like.

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Question 9 of 10

Are you open to other transformational containers with Marsha, such as group trainings or retreats?

A

Yes

B

No

C

Maybe, tell me more

Question 10 of 10

Is there anything else you'd like to share or that you feel I should know?

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