CONSULTATION Sign-up

Simply fill out the form below which will reserve your Free 20-minute “Dating Strategy Session” over the phone to assess your current situation, ask any questions you may have about my coaching process and help you decide on the best option for you. Once you submit the form below you will immediately receive a confirmation email from me along with a “Dating Needs Assessment” which you can begin taking right away!

Receive your Dating Skills Assessment!

1. Your Name(required)
2. Email(valid email required)
3. Phone #(required)
4. Age
5. Prefered Time/Day to Call:
6. Service(s) most Interested in:
7. 90-Day Relationship Attraction Plan
   Intensive Breakthrough Session
   Online Dating Packages
   Personal Matchmaking
   Hypnotherapy & NLP Sessions
   1-Hour Advice Session NOW!
   
8. Message (optional)

 

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