Thank you for your interest in the Patterns Assessment consult with me! 
It always excites me when people are willing to step up in their relationships, 
so well-done! :) 
Please apply by filling in some details about yourself. 
I will be reviewing your application,
and will contact you to make a time for our session.

With gratitude and love, 
Efrat Wolfson

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* 1. Your First and Last Name

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* 2. Your phone number

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* 3. Your Email address

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* 4. Skype name (if you have one)

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* 5. What is your relationship status?

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* 6. What is your biggest challenge in relationships, present or past (if you're single)

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* 7. What would you ABSOLUTELY love to have in your relationship?

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