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Name
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First Name
Last Name
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2
Email
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example@example.com
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3
What are you looking for support with?
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Personal head trash - self-doubt, procrastination, self-worth, confidence, fears, etc
Head trash that holds back my business - sales, confidence, visibility, reach, impact
Business coaching
Marketing mentoring
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4
Describe the BIGGEST mindset struggle you are facing with your personal life. What impact is that having on your life right now?
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5
Which of the following are you affected by?
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Anxiety
Self-sabotage
Procrastination
Self doubt / lack of confidence
Low self worth / self-esteem
Feeling stuck or blocked
Frequent bouts of fear
Unhealthy habits you can't kick
Other
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6
Describe the BIGGEST mindset challenge you're having in your business. What impact do you think this is having on you and your business right now?
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7
What is your current monthly business revenue?
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And what your target monthly revenue?
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8
What business or marketing challenges are you experiencing at the moment.? How are they getting in the way of your business?
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9
What business or marketing guidance and support are you looking for?
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10
Do you work in the pregnancy, birth or parenting space?
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No
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11
Do you work as a coach, therapist or transformation professional?
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Yes
No
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12
Are you interested in receiving professional training as part of our work together?
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Yes
No
Maybe
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13
My work is very deep and very rapid. It's designed for people who are committed to personal transformation. On a scale of 1-10 (10 being absolutely) How coachable are you?
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Please explain your answer.
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14
Why do you want to work with me? How do you know I am the coach for you?
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15
What level of investment are you prepared to make to achieve the results you desire?
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< £1000
£1500
£3500
£6000
£9000
£10,000+
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16
I will only invite you to a call if you are ready to work with me right now. I will be taking payment on our call. Are you willing to make the investment on the call?
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Yes
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17
Is there anything else you'd like me to know? If so, what?
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