Breakthrough Session Prep Form

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Tell me briefly about your situation. Why are you scheduling a breakthrough call?* This field is required.

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What is your main goal in this area of your life?* This field is required.

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What is stopping you from reaching this goal?* This field is required.

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How is it impacting you to not solve this problem?* This field is required.

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On a scale from 1 to 5 (5=highest), how committed are you to creating a breakthrough in that area?* This field is required.

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Name* This field is required.

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What is your email* This field is required.We use this email to send you access details to our Breakthrough Session

8

What's the best phone number to reach you on if we cant connect on Zoom?* This field is required.

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We only accept a very limited number of new clients per month to work with, and we select applicants based on those we feel are best fit and MOST LIKELY to get tangible results as soon as possible from working together. With that said... If you are accepted, how soon can you get started?* This field is required.

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Right now I...* This field is required.

Have financial resources to invest in my growth.

Have access to financial resources to invest in my growth.

I don't have financial resources at all & I am going to keep my life exactly where it's at.

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I promise I will show up for our Breakthrough Call at the time we scheduled. Type below "Yes I Will"* This field is required.