APPLICATION FORM

FREE Happiness Diagnosis Session

I'm offering to a select few people, a limited number of totally FREE 45 minute Happiness Diagnosis sessions. To see if you qualify fill in the form below and press the Submit button.

* Indicates required field

1. What are you looking for in your life today? *

2. If you could have anything, what would you want? *

3. What do you NOT currently have in your life which you Do want? *

4. What do you currently have in your life which you no longer want? *

5. What patterns have you noticed occurring in your life so far? *

6. Give details of any healing, coaching or classes you had to date and what you achieved through them. *

7. On a scale from 1-10 (10 the highest) how important is get what you want now. and why? *

8. What would happen if you didn't achieve the results you want? *

Name *

First

Last

Email *

Phone Number *

Submit

If you don't hear from us in the next 3 days you might still qualify for the next month's series; if so we may contact you at a later date.

HAPPY IN LIFE
Copyright © 2015 All Rights Reserved

HOURS (GMT)

Telephone

Email

HAPPY IN LIFECopyright © 2015 All Rights Reserved

HOURS (GMT)

Telephone

Email

HAPPY IN LIFE
Copyright © 2015 All Rights Reserved