Emotional Body MappingQuestionnaire Fill in the questionnaire below as honestly as you can so that our call can be as transformational as possible. DOn’t forget to click the link at the bottom to set your call up! Contact Info Name * First Name Last Name Skype ID / Facebook Messenger ID * Current Situation On a scale of 1-10, how are you feeling in your body? * Where do you want to be in your body, mind and spirit? * What are the main blockages stopping you from living a healthy lifestyle? * Moving Forward Right now I... * Have the financial resources to improve my lifestyle Have access to the financial resources to improve on my lifestyle I don't have any financial resources and I am going to keep my lifestyle exactly where it is If someone would tell me that in order to improve my current situation it requires the help of a mentor/coach I would... * Know it's serves anyone who has been creating repeated unsuccessful results in their current lifestyle Would be a little intimidated, but with the right mentor/coach, I would highly consider it because I am serious about the quality of my lifestyle Avoid it at all costs because I want to be as cheap as possible I will personally call you at the time you choose. Please commit to your appointment by typing this sentence in the box below: "Yes, I promise to answer the phone for my breakthrough session when my coach calls" * Finally, on a scale of 1 to Bruce Lee, how awesome are you? * Well done for stepping into your magic - we can't wait to talk to you!! Click here to BOOk You Time
