Building the Breakthrough - Living Whole on Purpose

Breakthrough Call Application Form

1. What level of personal development do you invest in?
(I am new to experiencing - to - I continually invest in myself in forward growth)

2. What symptoms are you experiencing daily, weekly.
(e.g., nervousness, overwhelm, disconnect, loss, anger, despair)

3. How long have you been experiencing these symptoms?

4. What are your biggest obstacles you are currently facing that are keeping you from moving forward? What does it keep you from in your life?

5. What types or forms of healing modalities are you or have you currently been involved in experiencing?
(Meditation, Counseling, Psychology, Hypnotherapy. Etc.)

6. If you are deep in the personal growth journey and want to breakthrough any obstacles that you are still feeling trapped in, please list them here.

7. If you can breakthrough any obstacles holding you back, where do you see yourself in 2 months?

8. Our Breakthrough team will call you personally or via zoom at the scheduled time You have chosen. The first part of showing up and taking responsible action of moving forward is answering the call and is a huge breakthrough by showing up on purpose. Please respond Yes by typing and affirming "Yes, I will answer the call.”

9. Are you ready to become the Action of Change, Abundance, Fulfillment, Allowance and Growth on Purpose?

Yes