Breakthrough Session Questionnaire

Please complete all relevant areas to make the most of the time you have set aside to honor yourself and receive support. 

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* 1. What is you first & last name, phone number,  email address and  mailing address?   

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* 2. How did you hear about Shama? 

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* 3. Where in your life and/or career do you feel you could use more support, clarity and guidance?

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* 4. What would you say is the biggest source of stress and worry in your life right now?

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* 5. Do you find yourself battling with self-sabotaging tendencies? If so, what are they?

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* 6. Which of these best describes you at this time?

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* 7. Ideally, where do you see yourself in 3-6 months?

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* 8. What are some of your expectations in working with (hypnosis) a Hypno Soul Coach? 

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* 9. If Shama is able to help you take action and remove the barriers to your goals, when would you want to begin?

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* 10. What are some limiting thoughts/doubts that come up when you think about working with a coach? (not enough time? fear of the unknown? "I should be able to do this on my own"? etc.)

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