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Pregnancy Loss Practitioner Application

 
ARE YOU; an Angel Mum who's loss is recent or some time has passed, your healing journey is ever evolving BUT you have an inner knowing you want to become the support person for another loss Mum.

OR

You are a Service provider wanting to confidently support Angel Mums with the Pregnancy Loss Practitioner Program.

 BIG LOVE, Sharna xx

Click the button below to start.

Start

Question 1 of 16

Your Full Name & email?

Question 2 of 16

What is your Facebook &/or Instagram handle?

Question 3 of 16

What timezone are you in?

Question 4 of 16

Where are you in your life currently? 

A

Loss Parent with a burning desire to support other loss mums

B

A service provider looking to confidently support your clientele who have experienced loss?

Question 5 of 16

Briefly describe what it is you're struggling with the most right now?

(Example: no structure? Desire to support but don't know how?)

Loss Parent

What does healing mean to you?

Loss Parent

What would being able to continue your healing WHILE learning how to support others mean to you?

Service Provider & Loss Parent

What would be the BIGGEST BENEFIT for you enrolling into the Practitioner Program & getting the system to support other loss parents?

Service Provider

What would integrating a proven framework & added knowledge & skill set to deepen your support for your women clientele mean to you & your business?

Question 10 of 16

THINKING LONG TERM:

What is your GOAL or FUTURE VISION for becoming a Pregnancy Loss Practitioner? 

Question 11 of 16

How committed are you to deepening your ability to move through your healing? OR to deepening your support for your women clientele?

A

10/10

B

6/10

C

Less than 5/10

Question 12 of 16

If you are a 6/10 or LOWER - What would get you to a 10/10?

Question 13 of 16

How did you hear about me? Just pop in the name of the place you saw me or the person or business who referred you.

Question 14 of 16

Anything else you would like to add that I haven't asked? I invite you to pop it in here x

Question 15 of 16

NOW, WHAT NEXT:

1. Submit this form & I will be in touch via your email within 24-48hrs.

2. Once you are approved, What you will get in the Email is a Link to purchase the program. 

3. You will also have the opportunity to ask questions at that stage too via Email.

 

 DO YOU UNDERSTAND?

A

Yes

B

No

Question 16 of 16

Please retype your email & click submit

Confirm and Submit