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Hello and welcome!
I am thrilled to introduce you to my intensive PROGRAM using CMR - Cellular Memory Release,
designed to provide support and guidance for people like you.
This program aims to help release negative patterns that may be impacting your life, along with the emotions attached to them.
The goal is to empower you to lead a healthy, productive life filled with purpose and fulfillment.
To ensure that this program is the right fit for you, I kindly ask you to complete the following form and send it back to me.
Within 72 hours, I'll reach out to schedule a free interview with you.
Please note that there are limited slots available for these interviews.
During our interview, you can expect to:
- Gain more clarity about the life you desire and the direction you want to go.
- Uncover the number one thing that may be holding you back and learn how to overcome it.
- Identify actionable steps to bring about the transformation you desire.
- Leave the interview with a newfound sense of clarity, knowing your next steps.
Please be aware that due to time availability, we can only select four participants for this program each month.
If you're not chosen this time, I encourage you to apply again next month for future opportunities.
Thank you for considering this transformative journey with me!
Warm regards,
Luis Diaz |
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*1. The information you provide is strictly confidential.
Still, if there is anything that you dont want to share here, please, write: N/A
Name and country where you live: |
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| *2. Your Age and Profession: |
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*4. YOUR PRESENT SITUATION:
1- Whats the challenge you want to resolve?
2- How does this problem manifest in your life?
3- How does it affects you and the people around you?
4- Does it affect you professionally or financially?
5- Does it affect your health? Please briefly describe. |
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*5. 7. THE RESULTS THAT YOU ARE LOOKING FOR:
1- What personal results are you expecting to get, if you work
with commitment and determination?
2- How will you know if you get the results you are looking for? |
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*6. 9. YOUR WILLINGNESS AND COMMITMENT:
Knowing that if you keep doing the same things, you 'll keep having the same results,
are you willing to embrace major change in your life?
Please, rate the following (1 being little or no inclination; 10 being a very high inclination):
A- From 1 to 10, How strong is your DETERMINATION?
B- From 1 to 10, How much are you willing to INVEST TIME to get what you want?
C- From 1 to 10, How much are you willing to INVEST FINANCIALLY to get what you want? |
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*7. RATING YOUR LEVEL OF SATISFACTION:
How would you classify the following areas of your life
from 1 to 10? Being 10 VERY SATISFIED and 1 VERY UNSATISFIED.
A- From 1 to 10, PROFESSIONALLY
B- From 1 to 10, FAMILY LIFE
C- From 1 to 10, FINANCIALLY
D- From 1 to 10, INTIMATE RELATIONSHIPS
E- From 1 to 10, HEALTH & WELLBEING
F- From 1 to 10, LIVING YOUR LIFE PURPOSE |
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*8. What have you done to resolve this issue?
HAVE YOU DONE COURSES, TRAININGS, COUNSELING, ETC...?
Please, tell me what have you been doing or what are you currently doing to change your situation for the better? |
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*9. YOUR EXPERIENCE WITH THE CMR PROCESS:
How have you learned about my work?
Have you ever participated in any online classes or retreats with me?
Have you ever received CMR private sessions from any of CMR facilitators?
Have you read my book; 'Memory in the cells'?
Are you referred by friends or colleagues who know my work?
If so, please tell me who. |
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*10. OUR COMMUNICATION WILL BE THROUGH TELEPHONE WHATSAPP OR SKYPE.
Please, provide your number if you live in the US.
Or your Whatsapp number.
Or your Skype name if you prefer it.
IMPORTANT: You don't need a camera for this meeting. |
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11. Is there anything else that is relevant for you, that you would like to mention?
Here, you can add comments, special requests or questions that may have before the meeting.
Thank you very much for the time invested in filling out this application.
If selected, you'll be notified shortly. |
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