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Question 1 of 13
Name
Question 2 of 13
Email
Question 3 of 13
What do you do for work?
Question 4 of 13
Please share a link to your website or social media handles if applicable.
Question 5 of 13
In what city/country are you located?
Question 6 of 13
What is your annual income?
Less than $100,000
$100,001-$300,000
$300,001-$500,000
More than $500,000
Question 7 of 13
How did you hear about me or my coaching services?
Question 8 of 13
Why are you seeking coaching?
Question 9 of 13
What does your ideal future look like?
Question 10 of 13
What are the main obstacles preventing you from achieving your ideal future?
Question 11 of 13
What have you already tried to overcome these obstacles?
Question 12 of 13
Is there anything else you'd like to share?
Question 13 of 13
Are you aware of my current coaching rates and able to afford them?
Yes
No, I'm not able to afford them at this time.