What is your full name? *

 
Do you have a website?

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

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 has brought you to me? *

What are the symptoms and conditions you're currently carrying? This could be from small and seemingly meaningless symptoms to the ones you've been carrying for a much longer time.
 
How are you feeling right now? *

Explain in a few words how you're feeling in the moment.
 
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.
 
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.
 
Are you ready and willing to take big leaps, and are you looking for the most efficient and personally meaningful path to growth? Then these dense and life transforming session are designed for you. 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 and if you're selected for a complimentary consultation, multiple payment options will be available.

Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform