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Client Consent

Please answer the following questions to the best of your ability and include all relevant details that could help me better understand you and assist you on your journey to create your desired reality. Thank you!


Can't wait to work with you!

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Question 1 of 27

What is your full name? (First Last)

Question 2 of 27

How did you hear about Alejandro?

Question 3 of 27

Please provide your best email address:

Question 4 of 27

Phone Number:

Question 5 of 27

What are the top 3 things you want to work on in your life?

Question 6 of 27

Where do you live in the world?

Question 7 of 27

What are your biggest strengths and weaknesses?

Question 8 of 27

What inner blocks do you think are holding you back from achieving your heart's desires?

Question 9 of 27

If you had a magic wand, what one thing would you change immediately about your life?

Question 10 of 27

What 3 main goals do you wish to focus on in our time working together?

Question 11 of 27

Are you committed to unleash all your creative power to experience abundance in all aspects of life?

Question 12 of 27

If you have worked with a coach, healer, or Quantum Practitioner before, what were the things you liked and disliked about your collaboration?

Question 13 of 27

How do you want to feel in the next 6 months? Describe in detail.

Client Agreement

As a client, there are responsibilities you must respect and adhere to in order to maximize your results and ensure your journey to feel your best is not compromised. Please agree to each of the following statements of responsibility and sign your consent to adhere to these expectations.

Question 15 of 27

I agree to show up on time and without distractions to our appointed weekly calls.

A

Yes

B

No

Question 16 of 27

I agree to give my best effort to adhere to Alejandro's protocols before, during, and after the program.

A

Yes

B

No

Question 17 of 27

I agree to keep a positive focus on my ability to feel my best.

A

Yes

B

No

Question 18 of 27

I agree to take 100% responsibility for my own success.

A

Yes

B

No

Question 19 of 27

I agree to be open, coachable, and ready to explore new ways of thinking or being on this journey.

A

Yes

B

No

Question 20 of 27

I understand there is no expectation to make up a coaching call if I do not cancel within the stipulated 24 hours before the start of the call.

A

Yes

B

No

Question 21 of 27

I am fully committed and I will implement the advice given to me to the best of my abilities.

A

Yes

B

No

Question 22 of 27

I understand this service is not intended to be a substitute for my therapy treatment.

*Always consult with your healthcare team - if applicable.

A

Yes

B

No

Question 23 of 27

You agree to the terms of this agreement and agree that your typed full name can be used as a digital representation of your signature to that fact.

A

I agree

B

I disagree

Question 24 of 27

Termination: Coach may terminate or suspend coaching services immediately, without prior notice or liability, for any reason whatsoever, including without limitation if you breach the terms. All provisions of the terms by which their nature should survive termination shall survive termination, including, without limitation, the warranty disclaimers, indemnity, and limitations of liability.

A

I agree

B

I disagree

Question 25 of 27

Governing Law: These terms shall be governed and construed in accordance with the laws of Florida, United States, without regard to its conflict of law provisions. Our failure to enforce any right or provision of these terms will not be considered a waiver of rights. If any provision of these terms is held to be invalid or unenforceable by a court, the remaining provisions of these terms will remain in effect. These terms constitute the entire agreement between us regarding our service, and supersede and replace any prior agreements we might have between us regarding the service.

A

I agree

B

I disagree

Question 26 of 27

Changes: We reserve the right, at our sole discretion, to modify or replace these terms at any time. If a revision is material, we will try to provide at least 30 days notice prior to any new terms taking effect. What constitutes a material change will be determined at our sole discretion. By continuing to use our service after those revisions become effective, you agree to be bound by the revised terms. If you do not agree to the terms, please stop using the service.

A

I agree

B

I disagree

Question 27 of 27

Cancellation Policy: 24 hour notice is required when changing or canceling an appointment. If an appointment is missed or cancelled without a 24 hour notice, the full appointment fee will be charged. Coach shall have no responsibility or expectation to make up any cancelled coaching call if client does not provide the required 24 hour notice.

A

I agree

B

I disagree

Confirm and Submit