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3 Secret Shifts Discovery Form
that helps you to double your revenue, triple your profit and 10X your valuation
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Name
First Name
Last Name
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Email
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Date
Your Birthday
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Date
Today's date
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On a scale of 1-10, how often do you worry, get anxious, over-think?
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What is your BIGGEST worry or concern right now? If multiple, please list all of them in order of importance.
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On a scale of 1-10, how often do you get upset, angry, frustrated?
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What is your biggest problem right now? What is frustrating you most? If multiple, please list all of them in order of importance.
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On a scale of 1-10, How often do you have emotional "ups" and "downs"?
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On a scale of 1-10, rate your energy levels?
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On a scale of 1-10, rate your focus levels?
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On a scale of 1-10, rate your confidence & certainty level?
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On a scale of 1-10, how often do you have accidents, mistakes or illness?
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Do you have any chronic illness, pain or unwanted physical ailment? Please describe.
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Is there any person in your life that makes you feel "smaller" or "squashed" in some way? Be specific.
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Is anyone in your life evaluating or judging you? Please explain.
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Please describe any past losses or failures in business, life, family, emotionally, spiritually, mentally, financially.
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On a scale of 1-10, how would you rate your overall morale, drive and certainty in your life?
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On a scale of 1-10, how would you rate your ethics level?
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20
What are you NOT doing (habits or tendencies) recently or in the past that you know you SHOULD be doing?
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What are you doing (habits or tendencies) recently or in the past that you know you shouldn't be doing?
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Is there anything in your life that you feel guilty about or regret?
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How often do you consume alcohol or drugs? Currently? In the past?
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On a scale of 1-10, how easy is it for you to experience joy & gratitude?
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On a scale of 1-10, how "in alignment" does your life feel?
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How do you feel about yourself? Why?
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What do you most want in your life?
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Is there anything you would say you are "obsessed" or "infatuated" with?
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29
Are you clear on your life purpose & mission? Please explain
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30
What business industry are you in? Examples: Coaching, Consulting, Advertising Agency, Real Estate, Construction, Service, Restaurant...
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31
In one sentence, tell us who your ideal client is.
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32
Please list out your current offers (and/or businesses) in the following format: Offer Name,Length and Program Type, Program Deliverables, Investment, Ideal Client, Program Promise.
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Do you have a team? If yes, How many members? How would you describe your team dynamics?
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34
What are your largest business challenges right now? What have you tried to solve them? Please explain in detail
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35
What is your current monthly revenue in USD?
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36
Where do you want to take this business in the next 12 months? (revenue, team members, profit, etc.) What is your vision?
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37
Website(s):
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38
What CRM are you using?
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39
Anything else you'd like us to know about your business?
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40
What do you want to get out of this session? What is most important to you?
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41
What does it mean to you at this time in your life to figure out the 3 secret shifts that would help you to double your revenue, triple your profit and 10X your valuation?
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