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Online Business Coaching With Tamia Denise Pre-Consultation Questionnaire
Please be sure to fill out the form entirely. Feel free to hello@theladyinstitute.com email at for further questions
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Full Name
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First Name
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2
Business Address
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Portugal
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Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
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Ukraine
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Uzbekistan
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Vietnam
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US Virgin Islands
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Western Sahara
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Zambia
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Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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3
Phone Number
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Area Code
Phone Number
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4
E-mail
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5
Social Media Handles (Instagram, Facebook, Twitter) and website:
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6
Is this your 1st consultation with Tamia Denise?
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7
Have you enrolled in any of Tamia's Programs (health, life, or relationship coaching, online groups, women's events, mentorships, memberships or online courses?
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8
What is the vision for yourself, organization, company or project?
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9
How do you see me helping you?
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10
What are 1-3 key things you need help with?
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What do you believe needs to be strengthened in order to support achieving this?
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12
In what ways are you currently thriving, winning or growing?
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13
What is unique about your dream business compared to your competitors?
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14
In what ways do you want to grow or change?
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15
Please provide, in detail, your “dream” source of income—in other words, with all obstacles removed, what would you do every day to generate income? (Feel free to dream BIG here—if the answer is “Sit on the couch and eat chips—let me know!).
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What are some roadblocks standing in the way of this ‘dream.’ Remember, roadblocks are not just physical (time, supplies, websites)—Roadblocks are also mindset related (Fear, Lack of Support, Previous Failure). No matter what it is, get real about it here.
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What is the budget yo have set to achieve your goals with my services?
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18
What is the 1st goal you want to get moving forward with on your project. What can I help you with first? (Business Coaching or Consulting)
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19
Please note that this is an application to work with Tamia Denise as your potential business consultant. This does not guarantee that you will be contacted to work with Tamia Dawkins. This pre-application is contingent on the qualification that is displayed in your application above to work with Tamia Denise and also her schedule availability. Lastly please note that there will be a $150 dollar deposit to get (started) on your project after your application and client contract has been received, signed, and filed. Please forward all questions and concerns to hello@theladyinstitute.com PLEASE GIVE OUR TEAM 24-48 HOURS TO REVIEW AND REPLY TO YOUR APPLICATION after submission.
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