Breakthrough Session Application

Name *

First

Last

Email *

Mobile Number *

How did you hear about us? *

Wherever you are in your journey of being alone, what do you find yourself desiring? What is it that you desire the most? *

If you could ask God for one thing – what would it be? *

What do you want your life to look like going forward from where you are right now? *

On a scale of 1-10 (1 is least and 10 is most), how committed are you to pursuing the above to make it a reality?

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What have you done up until now to get yourself out of your current state? What has worked? What has not worked? *

What main hurdle is hindering you from moving towards your dreams? *

Where do you put your self-worth on a scale of 1-10 (1 is least and 10 is most)?

Selected Value: 0