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Name

Phone

Tick as many as apply which resonates with you most out of the following

I don't feel happy with where my life is at present

I feel a sense of unease that things are not right

Im unhappy with my physical condition

I want to get fit

Stress will kill me If I don't do smething soon

I have a really bad habit/s I want to break

Anxiety is stopping me from enjoying life

I don't feel I am being the best business leader that I need to be for my team

If I could change 3 things right now, what would they be?

The thing I want to change the most is?

On a scale of 1 - 10, how badly do you need change?

on a scale of 1 to 10 how excited are you by the thought you can create the changes you crave?

Type a small letter to TK describing your situation and what you would love to achieve

By submitting this from you allow TK to respond to your questions TK verifies all information in this form is confidential, secure and will never be disclosed except in conversation with you

Thanks for submitting! ake a deep breath - you never know - you might have just sent a powerful message to yourself and to the universe that change is on its way

COURAGEOUS CONVERSATION

COURAGEOUS
CONVERSATION