Soberclear Coaching

1

So, let's get things straight...I want to be able to:* This field is required.

Stop drinking entirely

Control my drinking

I'm open to either

2

Awesome. Now I'll make this all as quick as possible. But firstly, we don't wanna be rude, so what's your first name?* This field is required.

3

Cheers! What's your email {firstname}?* This field is required.

4

How often do you tend to drink?* This field is required.Select all that apply

Daily

Weekly

Most days

Binge Drinking

5

What have you tried to do to control your drinking so far?* This field is required.Select all that apply

A.A.

Rehab

Religion

Will-power

First Principles Thinking

Nothing

6

{firstname}, what has and what hasn't worked so far when it comes to controlling your drinking?* This field is required.

7

What areas is alcohol negatively impacting you the most?* This field is required.Select all that apply

Relationship

Business and career

Mental clarity

Money and finances

Health, energy and fitness

Spirituality

All of the above

8

{firstname}, what problem are you looking to solve with the program, and why? Please provide as much detail as you can.* This field is required.

9

When was the last time you drank?* This field is required.

10

What's your current occupation and/or area of work?* This field is required.

11

How willing and able are you to invest in your transformation right now?* This field is required.

I have the financial resources to invest in my transformation.

I have access to the financial resources to invest in my transformation.

I don't have any financial resources to invest in my transformation.

12

Finally, we are very selective about who we work with. Our goal is to get everyone incredible results. Why do you feel you’re a good candidate for this program, {firstname}?* This field is required.

13

What's your call preference?* This field is required.

Zoom Audio Call

Zoom Video Call

Phone Call

14

What's your phone number? (Just in case we can't connect on Zoom)* This field is required.