COSMIC HEART 1-ON-1 MENTORSHIP APPLICATION

Name *

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Last

Email *

Where in the world are you located ? *

What are your 3 main goals over the next 13 weeks if ANYTHING were possible? *

How much are you committed to achieving these goals? *

What is the biggest challenge, issue or opportunity for healing you are facing in your life right now? Where do you need the most support? *

Where did you hear about my work? What interests you the most about working with me? *

Is there anything else you would like me to know about you?

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