Private Intensive | V.I.P. Day Application | Suzanne Goulet

Spirit Source Connect

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~ V.I.P. Day Questionnaire ~

By answering these questions, I'll be better able to serve your specific needs. Feel free to be as detailed as possible, letting me know what you would like to progress on the most in your life. I look forward to reading your answers, and will get back to you within 1 - 2 business days.
- Suzanne

* Indicates required field

Name *

First

Last

Email *

City, State, Country *

Time Zone *

Tell me the number one area of your life that you are seeking the most assistance with now? *

How is this impacting other areas of your life? *

Are you familiar with having a V.I.P. Day or have you ever done full day intensives before? *

Yes No

Tell me more *

Have you ever worked with a coach or a personal spiritual mentor before? *

Yes No

Feel free to share more about this *

Do you have a spiritual practice or tradition that you follow? *

What tools for personal development have you tried in the past? What has worked, and what didn't work for you? *

What are some OTHER areas of your life you'd like to recieve clarity on? *

What will your life look like after you are relieved of these challenges? *

On a scale of 1 - 10, how motivated are you to create these life changes? *

1 2 3 4 5 6 7 8 9 10

Would you be ready to do intensive work and be prepared to take action afterward? *

YES! I'm not sure I don't know if I have time No

How soon would you like your changes installed by? *

3 months 6 months 1 year 18 months to 2 years

Do you have access to Skype, inluding using the video option? *

Yes No I prefer to use my phone

Submit

Thank you and we'll be in touch with you soon!

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