Personalized Jewelry Application & 15 Minute Consultation Form


Full Name
Email
Website
Phone
What is happening in your life right now?
How would you like to experience your life?
What do you imagine your sacred destiny to be? (what are your wildest, biggest visions and dreams for your life…especially your unspoken ones)
What are your current frustrations and challenges?
How would you like to see your life transform?
Do you believe you can transform your world and live your sacred path? Yes or No
What would be the most amazing transformation you could experience working with Lori?
Are you ready to make a whole hearted commitment to your sacred transformation?…to stretch outside your comfort zone? Yes or No
Please share any additional thoughts.