We'd like to get to know you…

Aloha!

Are you ready to embark on a transformational journey? Great! We are ready to guide you through this life-changing process.

Just a little information about me…..I'm Jeanne Marie Russell, Owner of Dolphin Touch Wellness Center, in Kauai, Hawaii, Creator of Dolphin Energetics ™, Spirit Coach, and Naia (Dolphin) Reiki Master and Teacher.

My motivation and inspiration for doing this work is that it brings me great joy to see people like you living a more joyful and purposeful life.

What am I here to do?
To help provide a pathway/vehicle for you to move onto the next step on your spiritual path, to be a teacher, a student, a listener, a hand holder, a cheerleader, and a co-celebrator of your achievements. More than anything, I want you to find true joy and happiness, to open your heart to love, to see your dreams come true, and to live a life filled with adventure.

It would be my immense pleasure and honor to be a co-creator in your reality, to witness the transformation into the new you, to play in the vortex of infinite possibilities, and to hear the wonderful stories of success you will be sharing.

Welcome and Aloha,
Jeanne Marie Russell

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1. Now, I would like to learn a little more about you:

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2. Which Retreat(s) are you interested in attending?

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3. Which accommodations would you prefer?

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4. How did you hear about us?

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5. What is your reason for wanting to go on this transformational journey at this point in your life?

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6. Are you here for a physical, spiritual, and/or emotional healing or just to have fun in paradise? Check all that apply.

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7. Are you here to heal a particular event - divorce, death in the family, empty nest syndrome, etc..? Please explain.

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8. What is a comfortable level of physical activity for you?

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9. Is there anything specific you would like to experience while on your retreat?

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10. What are your food preferences and do you have any allergies?

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11. What do you long for in your life more than anything?

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12. Please select all Types of Sessions that you are interested in receiving:

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13. What is your biggest fear or frustration in your life right now?

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14. If you could wave a magic wand, what would you like to change/make different in your life?

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15. Which activities appeal the most to you? Select all that apply.

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16. What have you tried on your journey that did work, and why?

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17. What have you tried on your journey that didn't work and why?

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18. Are you interested in learning any of the options below?

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19. What about yourself would you like to change/improve more than anything else?

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20. If your could draw your fantasy life, what would it look like?

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21. How much are you ready to contribute to your retreat today?

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22. Anything else you want to share with us?

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