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Quantum Healing Application

This isn’t a casual enquiry, it's a turning point for those who are ready to leave old identities, trauma patterns, and survival strategies behind.

 

It’s structured, personal and energetically exact.

 

This application form helps us both get clear:

   → Are you ready for this level of transformation?

   → Is this the right fit for what your system actually needs?

 

There’s no rush. Take a breath, and be honest.

Because what you write here sets the tone for the work to come.


  1. ABOUT YOU


Birthday
Month
Day
Year
Multi-line address


  1. WHERE YOU'RE AT NOW

How would you describe your current state?


  1. PATTERNS YOU'RE DONE WITH

Which of these patterns feel familiar?


  1. READINESS AND CAPACITY

What’s your level of emotional readiness for this work?
I want to feel better but I’m not sure I’m ready
I’ve done a lot of work and feel ready for the next layer
I’m done trying - I need something that meets me where I’m at
Are you ready to commit to 6 months of deep energetic and emotional work with support?
Yes
No
I need more information
The investment for this work is $3,000 AUD. Are you:
Ready and able to pay in full
Needing a payment plan
Not in a position to invest right now


  1. FINAL ALIGNMENT

REBECCA HINE  

Narcissistic Abuse Recovery • Energetic Recalibration • Emotional Clearing  

Trauma-Informed Practitioner | Supporting Clients Worldwide  

 

Contact: hello@rebeccahine.com  

ABN: 27 138 528 678  

 

© 2024 Rebecca Hine. All rights reserved.  

 

All written content and intellectual property on this site belongs to Rebecca Hine and may not be reproduced, copied, or shared without written permission.  

 

Disclaimer:  

All services are intended for personal growth and energetic support.  

They are not a substitute for medical, psychological, or psychiatric care.  

Please consult a licensed healthcare provider where necessary.  

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