Intake Form To Work With DJ

1

What's your name?

First Name

Last Name

2

Phone Number

Please enter a valid phone number.

3

Email

example@example.com

4

What is your Instagram profile name?

5

What is your Facebook profile name?

6

I currently receive 10+ applications per day from people ready to create the life of their dreams. Because my goal is to spend as much time as possible with my family, I am unable to partner with every person who submits an application. I've designed these next few questions so I can understand your situation and be sure I am able to support you in building the life you desire before we move forward.

Sounds good! I'm excited!Totally understandable!

7

What has inspired you to to start an online business?Let's hear the good, bad, and ugly about life at this moment that has you filling this out!

8

What is the income goal that you are committed to achieving with my mentorship in the next 12 months?Thing BIG! Anything is possible!

$5000-$10,000

$10,000-$25,000

$25,000-$50,000

$50,000-$75,000

$75,000-$100,000

$100,000+

9

How many hours are you committed to investing to make this happen?

1-5 hours a week

5-10 hours a week

10-15 hours a week

15-20 hours a week

As much as possible! I am committed to doing whatever it takes

10

On a scale of 1-10, how ready and willing are you to be coachable and consistent, set aside time for yourself to show up for your goals, and do what it takes?I have been able to help a lot of people over the years reach their goals and design their dream life. You don't need experience or even a following, but you do need to be willing and eager to do these things above.

11

Because I receive so many applications each day, I have to know...why should I pick you for this opportunity?Don't be bashful! This is your chance to brag on yourself!

12

Thanks so much for allowing me to get to know you a bit. To move to the next stage of us partnering together to accomplish your dreams, you will need to watch the video that will be sent to your email upon receipt of this application. Are you committed to take a few moments out of your day to watch?

Heck yeah!I'll do what it takes!