Mind, Body and Soul Alignment by Jo Rose

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Strategy Session Form

Hello and welcome

This is the Strategy Form. The more information I receive beforehand, the more I can look into supporting you best in the initial Strategy Call.

    Full Birth Name (Required) - as it reads on your birth certificate or adoption papers

    Current Name (Required) - as you would introduce yourself daily, this is often your first and last name, although some use a shortened version and many married ladies take their husband's name e.g. for myself, Jo Rose consists of a shortened first name and my marital surname

    Date of birth (Required) - day, month, year - MUST be in this order

    Your Email (required)

    Telephone

    Skype

    On a scale of 1-10 (with 1 being poor and 10 being amazing) how does your occupation fulfil you?

    What is your current occupation?

    On a scale of 1-10 (with 1 being poor and 10 being amazing) how do you rate your health?

    Please list any aches and pains, small or large including headaches, toothache, and form of tiredness/ fatigue, accidents/ bumps, or illnesses you currently have

    On a scale of 1-10 (with 1 being poor and 10 being amazing) how do you rate your current relationship?

    What is your relationship status? Married/Single/Separated/Divorced

    On a scale of 1-10 (with 1 being poor and 10 being amazing) how do you rate your overall happiness?

    What specific goal(s) do you WANT to achieve in the next 12 months? - It could be business or personal. Relationship or other.

    What do you 'feel' is preventing you from accomplishing your specific goal(s)?

    What would be your desired outcomes from a mentoring program with Jo? Be as specific as possible.

    I look forward to receiving this Strategy Form and will be in touch with 48 hours or less to arrange an appointment.

    Sending you mind expansion, heart growth and inner peace.

    With much warmth from my soul to yours

     

    Jo Rose

    Jo Rose

    Numerology

    Relationships

    Health & Wellbeing

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