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Intake for 45 Minute Discovery Session
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Elders benefit from sharing our time, space, gifts medicines and wisdom. We welcome appreciation in this global village in any form. Gratitude for the next 7 generations Ometeoyl.
Name
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Your answer
Email
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Address
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Phone number
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Date of Birth
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MM
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DD
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YYYY
Location of Birth
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Description of Birth Experience
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Your answer
Relationship with Mother
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Your answer
Relationship with Father
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Parents
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Yes
No
Mother - Abortion
Mother - Miscarriage
Mother and Father Married?
Divorced?
Alive?
Affairs?
Yes
No
Mother - Abortion
Mother - Miscarriage
Mother and Father Married?
Divorced?
Alive?
Affairs?
If there was an affair, please share more.
Your answer
Siblings Order
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Your answer
Maternal Lineage
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Paternal Lineage
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Are you in a relationship?
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Yes
No
If yes, for how long?
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# of sexual partners
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3 issues brought to encounter in order of distressful to easeful: (10 = distressful 1 = easeful)
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Your answer
Tools already in practice for self development:
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Education Attainment:
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Job/Career/Vocational expressions:
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Your answer
4 passions for service for Earth:
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Your answer
2 indicators of already on that path:
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Choose 2 outcomes of discovery. I want to discover...
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Learning Style
Values
Vision
Gifts
Monetized Value of Gifts
Allies & Collaborators
Indicators of Results (evidence)
Ancestral Alliances
Impact of Geophysical Trauma
Other:
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