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Client Application

Congratulations on taking the first step to investing in yourself and a better future! Please fill out all fields provided in the form below. This will help me discover more about you. I will review the information provided and respond to your application within the next 3-business days. If I feel you might be a good fit for one of my programs, I will include a link to allow you to schedule a consultation phone call where we can explore your current situation further.

 

What brought you to this web site and why did you decide to fill out this application?

Who is the most important person in your life and do you feel that they would support your decision today to explore working with me?

What is your biggest dream for your personal life and what is your biggest challenge to reaching success?

What is your biggest dream for your business and what is your biggest challenge to reaching success?

On a scale of 1-10 with 10 being the highest result, how would you rate yourself on your current level of productivity? What would say has been your biggest challenge this area and how committed are you to overcoming this challenge?

Have you worked 1-on-1 with a high-end coach before? If so, what was your experience like and how would you have improved your experience? 

If I worked with you as my client, what result would you need to achieve to think that this was one of the best investment decisions you had ever made?

On a scale of 1-10 with 10 being the highest result, how committed are you to achieving your desired result?

What is your current business and who are your clients? 

What is your yearly income from your business and any other sources of revenue?