WP E-Signature by Approve Me - Sign Documents Using WordPress -

Breathwork Questionnaire

1. In what areas of your life are you looking to create change?

2. Where do you feel stuck now?

3. What story or stories have you been telling yourself and others that you are ready to let go of?

4. How will you know when things have shifted for you? What would your life look like and feel like?

5. What are you willing to do to create these changes in your life?

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

December 13, 2024 2:16 pm PDT

Breathwork Questionnaire Uploaded by Casper Blackwell - casper@heartlightdigital.com IP 97.107.177.135

February 3, 2025 12:06 pm PDT

Document owner casper@heartlightdigital.com has handed over this document to kristine@journeystoheal.com 2025-02-03 12:06:05 - 97.107.177.135