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First Name *

Last Name *

Email Address *

How long have you consciously been on a path of personal growth / striving to improve your life? *

Briefly describe what’s going well for you. Ie. in relationships, your work, your health etc. *

Briefly describe what challenges you’re currently facing. Ie. in relationships, your work, your health etc. *

Have you noticed that this challenge has been, or has become, a repeating pattern in your life experience? *

Other

Briefly describe what you’ve done before to attempt to remedy or overcome this challenge *

What best describes your current financial situation? *

I’m living pay-check to pay-check, and if I were to miss a pay-check, my bills would immediately be late or difficult to pay
If there were a financial emergency and I lost my income, I have at least $1k to $5k in available savings to weather that storm
I don’t have any income currently, I’m concerned about keeping my head above water

Do you commit to showing up for your scheduled appointment on time? *

Lastly, what is the one thing you most want to get from your call? *

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My name is Zach Hayter and my mission is to facilitate the ascension of humanity's consciousness by unblocking the soul's purest expression.

All donations ultimately go towards creating more impact to further uplift the human collective.

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For general customer service inquiries or problems, please email: hello(at)zachhayter(dot)com

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