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Schedule Your Strategy Call!

Strategy Call Application

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

YOU ONLY NEED TO FILL OUT THIS FORM IF YOU HAVE NOT TAKEN THE HBR-ASSESSMENT SURVEY. IF YOU HAVE YOUR RESULTS FROM THE SURVEY, PLEASE USE THE ATTACHED LINK TO SCHEDULE YOUR CALL OR YOU MAY BE CHARGED TWICE.

To Access the Hidden Belief Assessment Survey, Click on the following link: HBR_SURVEY

First Name *

Last Name *

Phone *

Email *

Full Address (not required unless you would like to receive holiday cards or special promotions)

Check each area in which you have you lost your passion and/or purpose - Where do you feel the most stuck? (check all that apply) *

Career

Relationship

Education/Self-Growth

Life in General - Everything

Sucks!

Health & Fitness

Spirituality

Family

What are you talking about? My life is perfect!

Which of the following negative emotions do you continue to carry around with you from past traumas or past life experiences? *

Anger

Sadness

Fear

Hurt

Guilt

Frustration

All of them! I’m not motivated to even get out of bed!!!

This is a safe and confidential space. If you recall a specific event from your past that may be the cause of this problem and you are comfortable sharing, please do so. Perhaps, we can address it and take care of it immediately on our call. *

What do YOU THINK is your Biggest Problem? The one you would like to solve first? *

List 1-3 (one to three) things that you say to or about yourself when you look in the mirror? #1, #2, #3 *

What do you feel is your biggest obstacle in getting you past or over these issues? *

What have you done to try and get rid of the problem? *

What do you Value Most?

RATE the colors in order of importance to YOU.

ENTER a number 1 being most like you and 4 being least like you.

CHOOSE only ONE (1) number below to represent each color.

DO NOT choose the same number that you have chosen for another color.

BLUE - Blueprint

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2
3
4
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RED - Action *

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2
3
4
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YELLOW - Nurturing

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2
3
4
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GREEN - Knowledge

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4
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How soon do you want this problem completely gone? *

Immediately

6-8 weeks

3-6 months

I want to bring this baggage with me to the grave

Right now I: *

Have my own financial resources to invest in order to finally get the help I desperately need.

Have financial support (friends, family) to help me pay for the positive changes that need to happen in my life now.

Don’t have any financial resources and I plan to stay stuck and miserable

If someone advised me to spend $15,000 for a guaranteed immediate solution to my biggest problem I would *

Believe it worked and spend the money without hesitation because I have nothing to lose.

Would be a little hesitant, but find the money, make sure I had the guarantee in writing…then go for it!

Avoid it at all costs because I like the attention and want to stay stuck and miserable….I don’t even care anymore.

Are you prepared to take the necessary steps in order to finally get unstuck? Are you ready to find your passion and purpose so you can finally achieve your true desires? *

YES

No

Not right now. Hopefully soon

I am most interested in: (Check All That Apply) *

5 Shift Webinar

Transformation Through Teshuvah Mini Course

Transformation Through Teshuvah Master Class

The HBR Assessment Survey

A Personal Breakthrough/or 90-Day Reset

Group Retreat to Reset/Relax & Rejuvenate

Our Team Strategist will call you at the time you chose. Please commit to your appointment by choosing and clicking this sentence in the dropdown bellow: “YES, I PROMISE I WILL ANSWER THE PHONE FOR MY STRATEGY SESSION WHEN MY ADVISER CALLS." *

YES, I PROMISE I WILL ANSWER THE PHONE FOR MY STRATEGY SESSION WHEN MY ADVISER CALLS.
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If there is anything else you think would be important to share or address during your call, please include it here. *

FINALLY, ON A SCALE OF 1 TO 10, HOW MISERABLE ARE YOU? (1 being kinda yuck and 10 being almost suicidal) *

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Disclaimer: By siging up and clicking submit, I agree to receive information from Liana Goffman. I may unsubscribe at any time. Your privacy is very important to us and we will never share your information with third parties without your permission.