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Intake Overview to Get you the best results!

Please fill this out to the best of your ability.  This helps Katherine evaluate your situation and give you the best feedback so you can move forward, get your life back, and create the lifestyle of your dreams.  Katherine and her team will reach out within 72 hours.  If you don't hear from her team within 72 hours please email us at

Please give a brief overview of you and your situation. (Who are you, Why are you reaching out, what can we help you with, etc)
What have you created in your life that you are most proud of?
What are some of your strengths? 
What comes easy to you?
What issues would you like clarity on?
What do you feel is holding you back?
Is there an issue that you have spent most of your life trying to resolve? If so, please explain?
Is there anything that worked in trying to change the above?
Full Name:
Email Address:
Phone Number:
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