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* 1. Please fill in your contact information:

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* 2. What do you need help with, in order of importance?

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* 3. Are you ready to invest in a spiritual/ ascension mentorship or training?

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* 4. Choose all options that you would invest in for yourself

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* 5. Who were your top three favorite speakers on the Alchemy of Ascension summit?

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* 6. What is stopping you from living your best life right now? choose all that apply

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* 7. How can I best support you on your path at this time?  (and/ or) What would you like me to know about you?

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