Pre-Call Questionnaire

1

Which of the following best describes you?* This field is required.

I am an established executive or CEO

I am an online entrepreneur

I am an athlete

I am someone just looking to improve my sleep

2

Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

What are your main sleep issues?* This field is required.

5

How are your sleeping issues negatively impacting your health, wealth, and/or relationships? * This field is required.

6

What have you tried so far that has not worked?* This field is required.

7

How motivated are you to improve your current situation?* This field is required.

It would be nice, but I'm in no rush

I'm ready to get started

I'm willing to go out of my comfort zone and do whatever it takes

8

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

I have the financial resources to invest

I have access to the financial resources to invest

I do not have access to the financial resources to invest

9

If you're accepted to work with The Sleep Consultant, how soon can you get started?* This field is required.

10

Please provide us with any additional information you think we should know before the call* This field is required.