30 Minute Energy & Consciousness Consult First Name* Email* Phone Number* Do you feel like you are meant for big things and you are only scratching the surface of your full potential?* Yes No Are you already in a business or getting ready to launch one?* Yes No Are you currently using energy medicine, advanced & applied mindfulness or coaching in your business? Yes No What is the number one challenge in your life right now that you most want to shift beyond?* What have you done to resolve this challenge thus far?* How much have you invested in yourself so far?* Under 1K 1-3K Over 3K How much money do you currently make annually?* Under 50k 50-75k 75-150k Over 150k How much money do you want to be making annually?* Are you an ACTION TAKER that when you are focused you become an unstoppable force? ** Yes No Are you willing and able to invest the necessary time, money, and energy to allow your transformation to happen?* Yes No How did you find Dr. Alison J Kay? SEND YOUR ANSWERS!