BOOK A SESSION FORM

Check this box if you have already filled out this questionnaire OR are a current client, then proceed to the bottom of this form and hit ‘submit'.

New Client Questionnaire

Thank you for choosing LifeForce Solutions. Mary Liz looks forward to support you to empower and energize your life!

Sessions with Mary Liz are held by phone (or Skype for international clients). Hours are scheduled according to Eastern Standard Time.

To schedule a Discovery Session or arrange a Coaching Package, please fill out a brief questionnaire, which will assist Mary Liz in understanding your focus/concerns.

All information you provide is strictly confidential. If you do not receive a response within two business days, please send an email to maryliz@lifeforcesolutions.com.

Your email :
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First Name :
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Daytime phone :
Evening phone :
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What are your biggest challenges where you would like assistance?
What personal goals would you like to address in a session with Mary Liz?
Which of these best describe your interest at this time. Check all that apply:	Nutritional eating Lose and maintain healthy weight Stress relief skills,and fatigue Natural self care for acute and chronic health challenges Hormonal balance, menopause symptoms Deal with relationship conflicts effectively Overcome destructive behavioral patterns Freedom from depression, anxiety, worry, sleep disturbance Healing from a loss (death, job, relationship, etc) Money frustration (lack of, relationship to, treatment of, flow of) Heal emotional distress
Is there anything else you would like Mary Liz to know about you, or what you are expecting to gain from a session?
How did you hear about LifeForce Solutions and Mary Liz?
Disclaimer: Mary Liz may utilize some or all of the following modalities in a session with you (the participant): dialogue, breath awareness, intuitive readings, body awareness exercises, journaling, sound therapy, aromatherapy, food experiments and guided visualization and meditation. This work is not a substitute for medical attention. We recommend you consult a health care professional before undertaking any nutritional or healthcare program. Do you agree?