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First Name
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Email
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Phone
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What's your IG handle?
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Why are you seeking coaching? What are your current challenges?
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What would you like to get out of coaching?
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What service are you interested in?
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Align Your Mind
Reclaim Your Life
Empower Your Potential
Expand Your Soul
Soul Expansion
Unsure
Have you previously worked with a therapist, counsellor, psychologist, or psychiatrist? If yes, please provide details.
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Is there anything else I need to know about you to support you on your coaching journey?
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