Name
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First Name
Last Name
Email
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Phone Number
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Please enter a valid phone number.
What is your current time zone/location?
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What stage of writing are you at?
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What are you aiming to achieve in the next 6-12 months? Please list your goals.
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What is the one thing you already know may hold you back? (eg. time, self, fear, etc)
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What is your income goal? What would you like to be earning each year?
*
Which type of mentorship do you feel most excited about?
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Please Select
personalised, one-on-one mentorship
structured small group mentorship
What makes you want to invest in mentoring?
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Is there anything else you’d like me to know, ahead of our call?
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If you cancel with less than 24 hours notice, do you understand you may forfeit this call?
*
yes
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