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Welcome form
You are about to start your journey
to your Lightseed Power!
Before we start, I'd like to get to know you a little better. Fill in this intake form and take your time.
Duration: /- 30 min
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First Name
Last name
E-mail
Address
Date of birth
What does your living situation look like now? Think of married / not married, children, single
Describe yourself in 1 sentence
What help have you already had with this?
What do you hope to achieve in my program?
What is most holding you back from achieving your goals right now?
number 1 thing still want to do
What happens if you don't take the right steps to achieve your goals?
Even worst enemy
Best advice
Motivation
Biggest obstacle
Great goal
3 smaller goals
energy
Rate your energy level
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What are you facing in your life right now?
Rate your physical health
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How satisfied are you with your private life at the moment?
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Explanation
How satisfied are you with your work situation at the moment?
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Closer to 10
How satisfied are you with your relationships with the people you have around you?
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New field:
Are you completely yourself (10) or do you present yourself differently (1)?
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Do you have the feeling that you are connected to your values and dare to stand for your values?
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How well do you feel connected to the people around you?
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How do you feel about the obligations in your life?
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How good do you feel about the future of your life?
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Not knowing
What do know
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Choose to make the most of your life for the rest of your life!
QUICK LINKS
Home
Lightseed Academy
Lightseed Activation
BOOK Completely in your element
I am OKAY - meditation program
Children
Analysis of children's drawings
Who am I?
Blog
Contact
General terms and conditions and privacy statement
Online store
CONTACT
info@alexandraangles.nl
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KvK: 72420111
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