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Application Form

You're a woman who's beyond ready to step into a level of happiness, confidence and clarity you've only dreamed of, yes? 

Thought so. I'm glad you're here because it's time you got handed a customized strategy to help you free up the time and energy you need to fulfill your big calling and achieve your personal goals.

Let me know why you're a great fit to receive my personalized support with accelerating your results. Please answer all questions thoroughly, so we can make sure you get the most out of our time together. 

Click the button below to start.

Start

Question 1 of 5

Please enter your name, email and phone number here.

Question 2 of 5

Why do you want to be considered for a Breakthrough? Be as detailed as you can.

Question 3 of 5

What have you tried in the past to solve your problem? 

Question 4 of 5

How ready are you to get rid of your problem?

A

So so ready!

B

I don't believe this will work for me, but I am willing to try

C

I am not sure

D

I am still attached to my problem

Question 5 of 5

How much is it worth to me to eliminate my problem forever?

A

$0 - $100

B

$100-$1000

C

$1000 - $5000

D

$5000 +

Confirm and Submit