Pre-intake form

FSF | Intake Form

Hi I'm Jenn Everson,

I'm a Transformation Coach & Clinical Hypnotherapist, who is committed to helping others that are struggling with their self-worth, chaotic minds, unbalanced lifestyles & disconnected relationships to not only breakaway & unbecome their circumstances, but to also reclaim their power & BECOME their TRUE selves - Who you were ALWAYS meant to be!

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Rate, how you're feeling

1) Not good at all

2) Could be better

3) Off and on most days

4) Somewhat good

5) Very good!

If you had no limits or fears, how committed do you feel about the process so far>

On the fence still

I'm excited, but nervous

Absolutely! Let's go!!

Thank you!

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