Discovery Session Request Form

1

Please complete all questions in the form in order to submit your request for a discovery session.

2

Name* This field is required.Please provide your name or how you would to be referred to as.

First Name

Last Name

3

Phone Number* This field is required.Please provide your most reliable contact number

4

SMS Utilization* This field is required.Are you able to receive text messages (SMS) on the phone number you provided?

Yes

No

5

Email* This field is required.Please provide your email address.

example@example.com

6

Ethnicity* This field is required.Please select which ethnic group(s) you belong to.

Black/African-American

Caucasian

Native American

Asian/Pacific Islander

Latin American/Hispanic

7

Generation* This field is required.Based on your birth year, select which generation you belong to.

Alpha (2011 & Up)

GenZ (1995-2012)

Millennial (1980-1994)

Gen X (1965-1979)

Baby Boomer (1946-1964)

Silent (1925-1945)

8

Which Service(s) Are You Interested in Learning More About?* This field is required.Select which coaching service(s) you are interested in.

Podcasting/Content Creation

International Travel

Content Creator Studio

Health & Wellness

10

Additional Details About You* This field is required.Please give us 1-2 goals explaining what you are hoping to achieve through your discovery session.

11

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Thank You for your interest in Smart Jewelz Enterprises {name}!

Your submission has been received! We look forward to partnering with you and/or your business. Now that you've taken the first step, please schedule your Discovery Session on the next page. An SJE representative will review your request and contact you within 24-72 hours to confirm the booking details.

Keep Shining Bright Like the Bright Diamond Jewel You Were Created To Be!

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