healing form

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Send this back to us asap and we will suggest the best option for you to move forward getting you the results you are seeking[/vc_column_text][vc_empty_space][vc_column_text]

healing form

Please add my Head Infinity Healer Jen on Skype at jen.burns5 and include your Skype name below *

Name *

Email Address *

Phone Number *

1- What are the 3 areas of your life that need the most help? *

2- How long have they been going on for?

3- What have you done to resolve these problems? ex: healing sessions.... *

4- Are you fully committed right now to make the changes you are seeking? *

5- What are the results you are looking to experience after working with Tarek and the Infinity Healing? *

6- If you knew we could achieve these results, if we worked together, would you be willing to say yes to yourself today? *

7- Are you willing to do whatever it takes to get these results including investing in yourself to receive deeper support and transformation? *

8- What is your monthly income? *

Please select one below *

0-$1,000 USD

$1,000,- $2,000 USD

$2,000 - $4,000 USD

$4,000 or more USD

9- How much are you willing to invest in yourself to get these results? *

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