Discovery Session Application

Thank you so much for your interest in applying for a FREE  Discovery Session with Pam Altaffer. In order to get the most out of our short time together I need you to complete this short questionnaire so we can hit the ground running.

Remember, these sessions are quite limited, and not everyone who applies will get chosen.

In these 45 minute Discovery Sessions, I’ll walk you through:

  • Discovering what is unconsciously sabotaging you from having the relationship of your heart’s desire.
  • Getting clarity about what you want in a relationship.
  • One simple steep you can take immediately to get into action.

Your Name (required)

Your Email (required)

Your City (required)

Your Country (required)

1. Tell me a little about yourself (required)

2) When it comes to your relationship what are you biggest challenges? (required)

3) On a scale of 1-10 (10 being the highest) how important is it to you to get these solved......and why?(required)

4) What is the #1 obstacle that's kept you from solving these challenges?

5) Where would you like your relationship to be in 6 months? 12 months?

6) On a scale of 1-10 (10 being maximum), how prepared are you to invest your energy, time and money to create the relationship of your heart's desire?

Phone Number

SKYPE Name (if prefer this to the phone)

Once I receive your application, I will get back to you within a few days to let you know if your application has been accepted. ( I only have a limited amount of spots available.)

I hope you apply soon! There is only one way to find out for sure if you get this opportunity and that is to apply right away!

I look forward to receiving your application…….

With Love and Gratitude,
Pam Altaffer, LCSW

Relationship Coach