Group Coaching Enquiry (Quantum Mastermind)

1
WHAT ARE YOUR TOP 3 PRIORITIES FOR THE NEXT 3 - 6 MONTHS?* This field is required.Please number them below.
Huge
Large
Normal
Small
Ok
Ok
2
WHAT ARE THE TOP 3 ROADBLOCKS YOU ARE CURRENTLY FACING THAT YOU PERCEIVE ARE HOLDING YOU BACK?* This field is required.Please number them below.
Huge
Large
Normal
Small
Ok
Ok
3
WHAT ARE 3 - 5 WORDS THAT BEST DESCRIBE YOU?* This field is required.Please number them below.
4
WHAT IS THE BEIGGEST PATTERN YOU SEE RUNNING YOUR LIFE SO FAR, AND WHAT HAVE YOU LEARNED FROM THAT PATTERN?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
5
WHAT HAVE YOU TRIED BEFORE?* This field is required.To overcome this pattern.
Huge
Large
Normal
Small
Ok
Ok
6
WHAT DREW YOU TO WANT TO WORK WITH ME SPECIFICALLY?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
WHY IS NOW THE RIGHT TIME TO WORK WITH ME?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
I ONLY WORK WITH A FEW PEOPLE AT A TIME. IF YOU WERE TO CHOOSE, WHAT OPTION APPEALS TO YOU MOST?* This field is required.Please chose from one of the options below.
1 x 90-Minute Coaching Intensive ($4,500 upfront)
1 Month Package with fortnightly sessions ($6,500 upfront)
3 Month Package with fortnightly sessions ($11,000 upfront or 3 x $4,000)
6 Month Package with fortnightly sessions ($4,000 per month)
I am super interested and would like to talk though my options and flexible payment plans
I'm not ready to invest, I'm just curious.
I'm interested in working with a Quantum Orange Certified Partner (not Paul or Mary Blackburn)
Group Coaching sounds perfect for me ($500 per month)
Other
9
YOUR NAME* This field is required.Please enter your full name in the fields below.
First Name
Last Name
10
YOUR EMAIL* This field is required.Please enter your best email below.
example@example.com
11
After completing this application you will be invited to schedule a 30 minute discovery call with Paul to discuss your coaching. This is a zero pressure call but you must be open to exploring whether Quantum Orange Coaching and Paul are a fit for you. If not, do not proceed with this application.* This field is required.We value your time, and expect the same in return.
YES I'M SERIOUSI'M NOT READY YET
12
13
Should be Empty: