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* 1. Hello there from Jan.....

I hope you enjoy taking this little pop quiz to help you take a look at
some of the energies in your life right now. By taking a minute
to fill this out you give yourself the gift of self-reflection that is always
the perfect starting point for change.This helps me get to know and
understand you as well, thank you for trusting me to be a part of the
your life!
IN the FIRST BOX......
Write your name and Email
Where you live, with your phone number if
you would like that on file for communications with ease.

Go ahead and Rate each of these questions on a scale of 1-10.
One is a No, 10 is a strong Yes..... Big Blessings to you...

Jan Cercone at Sound and Light Healing Arts

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* 2. I am usually in my passion and like my life

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* 3. I meditate regularly and I feel expanded

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* 4. I can still my mind and de-stress when I need to

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* 5. I would like to know more about this topic ______________________

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* 6. My body is in good shape and full of vitality

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* 7. There are specific physical areas I am wanting to heal

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* 8. I have the tools I need to navigate my spiritual awakening

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* 9. My primary relationships are healthy and satifsying

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* 10. I would welcome guidance and support on my spiritual path

T