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Please fill out the form below so we can prepare for your appointment.

First Name*
Last Name*
Best Email (Please use the same as you gave for appointment booking)*
Please Select Call Preference, (Skype is the best option)
ZoomSkypePhone (Include Country Code)
Phone number and Skype ID (If you asked for a skype call)
Your Website if You Have One?
This will help me get more into your world and to understand what’s important to you
Date of Birth Or Age if you Prefer ( Just between ourselves .. I won’t tell anyone )
Why did you book in the call? What are you hoping to get out of our session together?
What are the biggest problems you’re facing right now in your own personal experience with cancer?
Imagine we are having this discussion one year from today, and you are looking back over the past year? What has been the greatest gift of all that you’ve been through as you re- evaluate your Life now following your initial Diagnosis? Describe Your Ideal Outcome as if it has already happened. Let go of any concerns about the future for this question and allow yourself to imagine anything and everything is possible.
Right now, are there any burning questions you would like me to address? I am here for you to answer any questions and to help you in any way I can during our call.
Making a conscious choice to reclaim your health is fundamental to feeling empowered in your treatment plan. I suggest that you use the opportunity in prioritising our ‘Breakthrough to Healing Call’, to take that stand for yourself immediately. Are you ready to do that and to show up on time, ready to fully commit to your renewed health, to feeling better and to reclaiming your power to determine the future you long for?


What are some hobbies you enjoy? I’d genuinely love to know and will tell you why when we speak!
Finally, on a scale of 1 to infinity, how hopeful are you already? You’re dealing with some really tough stuff and need to know you’ve got everything it takes to reclaim your health and turn your life around. I look forward to our call very much and to connecting with you soon
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*You need to fill this form only for the first time you visit.