Complimentary Consultation Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
Confirm Email
3
Were you referred by someone?If so, please enter their full name. Leave black if no referal.
4
Which service are you interested in?
Please Select
Please Select
INFINITE ERA
EMPOWERED ERA
Would like to learn about the one best suited for me
5
How can we help you grow?Choose which apply to you
Brand Strategy Service
Life Coaching
Branding Service
Business Growth
Rebrand
Marketing Services
Personal Brand Growth
Self-Leadership Coaching
Other
6
Please provide details about your current challenges or goals, and we’ll help identify the best service for you.* This field is required.
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Please briefly describe your current business.* This field is required.Who do you serve, what do you sell, what's the price point?
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What's your business/personal brand website?* This field is required.If you don't have one just type 'Don't have one yet'
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How do you define success in your professional life?* This field is required.If we asked you this question 12 months from today, and you were looking back over those 12 months, what has to have happened in your life professionally for you to feel happy with your progress?
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What does fulfilment look like to you personally?If we asked you this question 12 months from today, and you were looking back over those 12 months, what has to have happened in your life personally for you to feel happy with your progress?
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Do you feel you are your true self in your life all the time?Please answer as honestly as possible
Yes, as far as I am aware
Most of the time
Occasionally, though it is difficult
Rarely
No, it's not important to me
12
Do you believe you are thriving in life?
YESNO
13
Do you feel you are living a life with purpose?If not, would you like to?
14
On A Scale Of 1 to 10, 1 being lowest and 10 being highest, rate your overall fulfillment in your life right now?
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On a scale of 1 to 10, with 1 being the lowest and 10 being the highest, how would you rate your current success in your business?
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How would you like to improve it?
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What is your annual turnover?
Below 5 figures
5 figures
6 figures
7 figures
8 figures
Over 8 figures
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On a scale of 1 to 10, with 1 being the lowest and 10 being the highest, how would you rate the level of passion you feel when you wake up in the morning, before your morning routine?
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What qualities make a great leader to you?Give examples if you have personally experienced it
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Are you prepared to advance your growth, whether professionally, personally, or both?
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