Dare to be YOU

Name

First Name

Last Name

Phone Number

Why are you drawn to this experience?

What do you feel is your greatest challenge right now?

Do you currently have clarity around your future?

How comfortable are you in your own skin? (0-10)

How happy are you in your work? (0-10)

How satisfied are you in your relationship to others?

Is there anything else you would like me to know or any questions you have?

How did you hear about Heidi and her work? (If you were referred by someone, please let us know their name so we can thank them)

Any questions about the Dare to be YOU retreat, do get in touch