Love Mastery Secrets Session
Application For Free Breakthrough Session
Please complete this simple form so we can provide the most benefit for you during our call. Dr. Erica will contact you to schedule a phone or Zoom consult.
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
1. What inspired you to have this conversation with me?
2. Briefly explain your current relationship status (e.g., single, married, divorced, affair, re-married, widowed, live together, just broke up, other)
3. Describe the ideal relationship you want and your dream of love.
4. What are your current struggles, difficulties and problems keeping you from having you ideal relationship.
5. What other issues are causing you stress and unhappiness: health, aging, anxiety, finances, family, other.
5. What have you done so far to overcome your specific problems and create the love and the life you truly desire?
6. Are you willing to invest your time, resources and energy in YOU?
7. Is there anything else you would like to share about yourself, your current situation or your hopes and dreams?
Email
example@example.com
Submit
Should be Empty: