Complementary Consultation Registration
This consultation is to help me gain deeper understanding about your current situation, to establish the most effective way we can work together and create a personalised strategy on where to go from there. Please know that anything you share is very welcome and kept strictly confidential.
Welcome
 
What is your full name? *

 
Do you have a website?

 
What's your Skype ID and/or Facebook name? *

Facebook is for use of Messenger (alternative to skype), so, if possible, please provide both. You can also add me as a friend on Facebook: https://www.facebook.com/rune.lekkerkerker
 
What country and time zone do you live in? *

 
How did you hear about me?


 
What about my work inspired you to contact me? *

 
What is your story? *

Tell me more about who you are and your background. Help me get to know you better.
 
What do you do for Work? *

 
What do you feel you need support with and how can I help you? *

Tell me about the challenges and obstacles you'd like to overcome.
 
What kind of Transformation would you like from our work together? *

Tell me about what you would like to manifest from working together and the support you would like to receive.
 
Which of these topics interest you the most? *


 
What else would you like to tell me about yourself?

This is a safe and private space, feel free to tell me the things that are important to you and that you would like me to know.
 
Please select the statement below that best describes your current level of commitment to make an investment in yourself. *

Your answer to this question doesn't obligate you to anything, it is simply used as a reflection of your level of commitment. Multiple payment options are available to suit your needs.

Thank you for sharing your story with me...
I will contact shortly you to set a date for our first consultation.
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