Soberclear Coaching

1

Which of the following best describes you?* This field is required.The reason we're asking this is because we want to tailor our approach to meet your specific needs and goals, whether you aim to stop drinking completely or manage it better.

I want to stop drinking.

I want to control my drinking.

2

Do you match this profile shared by our most successful clients?* This field is required.Aged 35+, business owner, CEO, doctor, entrepreneur, lawyer, investor (including retired professionals), executive, engineer, consultant, psychologist, contractor or other high achiever in your field.

YESNO

3

What's your first name?* This field is required.Please note that all your details will be kept 100% confidential.

4

What have you tried to do to control your drinking so far? (Select all that apply)* This field is required.The reason we're asking this is because knowing your past efforts allows us to offer new strategies and avoid repeating what hasn’t worked for you before.

A.A.

Rehab

Religion

Will-power

First Principles Thinking

Medication

Books

Nothing

5

When was the last time you drank?* This field is required.The reason we're asking this is because understanding the recency of your drinking helps us gauge your current situation.

6

What's your current occupation and/or area of work?* This field is required.The reason we're asking this is because knowing your occupation allows us to better understand your daily environment and stressors, helping to create more personalized support strategies.

7

Part of our method requires having some "skin in the game." How do you feel about investing in yourself?* This field is required.The reason we're asking this is because having a commitment to invest in yourself is an important part of achieving successful outcomes with our program.

I'm all for investing in my health and a proven system to follow

I'm not ready to invest in myself right now

8

What's your phone number {firstname}?* This field is required.

9

What's your email {firstname}?* This field is required.The reason we're asking this is for correspondence purposes and to send you call details. Rest assured, your email address will be kept confidential.