Nicole Brodie Coaching Programs
Please complete this quick survey so that we can better understand your goals, aspirations and struggles. Please take the time to complete this survey as thoroughly as possible, the better you answer these questions and the more information you provide the better we will be able to serve you as a client and deliver amazing results.
Your Name:
*
First Name
Last Name
Phone Number:
*
-
Area Code
Phone Number
Time zone
Email
example@example.com
Have you watched our video?
Yes
No
I was never sent a video to watch
What are the 3 biggest challenges you you have in your life right now?
What have you tried so far to address this?
What results have you seen ?
Have you hired a coach/expert before?
Yes and it was truly helpful
No I haven't
Yes and the results weren't great
Why are you committed to doing something about these challenges right now?
What would be three things that if you were to achieve in the next year, would make the greatest impact on the quality of your life?
If it looks like you are a good fit to work with Nicole, would you be ready to start now?
Yes
No
Who usually needs to be present to make a decision like this?
Myself
My Partner
Both
What are your goals of going through this program/working with Nicole ?
We only work with a limited number of clients to make sure they get very personalized attention , I want to make sure this is a good fit. (Why do you think you would benefit from the program if invited ?)
Are you willing to invest not only financially but your time into this program to achieve the goals you want?
Yes, let's do it!
No, I want to handle this on our own
Do you believe you or someone else is responsible for your results?
Would you like to apply for the 2023 VIP Exclusive Day *1 spot per year. Note investment is $10,000.
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