Limiting Beliefs

First name*

Last name*

Email*

Phone*

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Please score the following statements from 1 - 5.

Strongly Disagree - 1

Disagree - 2

Neutral - 3

Agree - 4

Strongly Agree - 5

I often feel like things just happen to me.*

I am destined to repeat the same relationship patterns.*

I have to hide parts of myself to get love and respect from others.*

I can't help the way I feel about some things.*

I am not able to change the things I don't like about myself.*

I’m not good with money.*

My happiness depends on the happiness of others.*

I can't help but be irritated by some people.*

I don't have time for self-care.*

I have given up on the idea of true happiness.*

Nothing I do is ever good enough.*

My financial situation will never get better.*

Other people's needs are more important than mine.*

I don't deserve to feel good about my body.*

I am not capable of maintaining a healthy relationship.*

I am not deserving of good things.*

It's good to hold onto some amount of fear*

I have people in my life that I’ll never be able to forgive*

Success is for other people, not me.*

I am not capable of creating my own reality.*

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One More Question!

What is your level of familiarity with muscle testing?*

I muscle test regularly.

I've used muscle testing before.

I've heard of muscle testing.

What is muscle testing?!

Please reach out and tell me more about Psych-K and how it can help me replace my limiting beliefs!

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Los Angeles, CA 90036

213.884.8699
info@terilanger.com

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