4 Session Option Application

Totally Rorree’s "It’s Time To Heal"
4 Session Option
Application for Acceptance

Complete each of the questions below and submit

Date:*
Full Name:*
Full Address:*
Phone:*
-
Best Time To Call:*
Email:*

Please Answer The Questions Below:

Number of hours you work weekly: *
Number of hours you would like to work weekly: *
Weeks of vacation you will take this year: *
Weeks of vacation you would like to take: *
Everybody’s goals are different, how much additional annual income would you need to reach your financial freedom goals?*
Do you own your own business or have the desire to?*
How long have you thought about improving your business and exploding your profits through investing in yourself and having an intuitive coach?*
How long have you been dissatisfied with the results you have in your relationship space?*
What have you done to attract the love you desire?*
What do you want to get out of the It’s Time to Heal Retreat?*
Why would you be a good candidate for my It’s Time To Heal Retreat? *
Do you have a history of mental illness? If yes, list the diagnosis and current medications. *
What specifically would you like to accomplish over the next year?*
Why do you want to work with me as your spiritual coach and healer?*

If selected for the next It’s Time To Heal Retreat, I would like to invest in the option below:�

Payment Options (check one):*

(final installment must be made prior to start of event)

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