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Timeless Mastery Application
Please fill out and submit this form (5-10mins) This gives us a greater understanding of how to best serve you in our Breakthrough Session.
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1
Please verify that you are human
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2
Identity
*
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Please select the options you most identify with..
Entrepreneur with established business
Intrepreneur: I work for someone else but I find ways to make my own income and increase my value
Employee: I work for someone else but I am looking to transition into working for myself
Creator: YouTuber, Content Creator, Blogger, Influencer, Speaker, Author, Podcaster
Sales Rep: I sell for someone else
Future Coach/Consultant: I'm just starting out with my offer
Healer / Light worker
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3
Life Pillars
*
This field is required.
What are the top 3 life pillars your most focused on improving right now?
Discovering my true Purpose & Higher Self
Mind: Mindset, emotions, subconscious reprogramming, beliefs, confidence, certainty, worldview, self image, clarity, focus
Body: Health, Energy, Performance, Sleep, Nutrition
Spirit: Consciousness, awakening, spirituality, Meditation, Breathwork, Energy work
Relationships: Love, Sex, Intimacy, Attraction, Communication
Network: Connecting with likeminded people, building friendships, brother/sisterhood
Money: Finances, Increasing my Earning Capacity, Money management
Business: Leadership, Team, Sales, Marketing, Operations
Productivity, time management, life management, simplifying
Overall Performance
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4
Current Performance
*
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What are your current levels of clarity, confidence, conviction, focus and discipline?
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Very Satisfied
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5
Purpose
*
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What is your guiding purpose in life? if you don't have clarity yet just write what comes to mind.
[No need to try to be perfect, just be authentic and true to you]
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Long Term Vision
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What is your long term vision in life? Where do you see yourself in the distant future?
[No need to try to be perfect, just be authentic and true to you]
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Values
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What are the highest values you live by on a day to day basis?
[No need to try to be perfect, just be authentic and true to you]
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8
Love & Passion
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What are you passionate about in life? What would you love to do if I instantly sent you $50M to your bank? How would you spend your time? What projects would you work on?
[No need to try to be perfect, just be authentic and true to you]
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9
Gifts
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What are you naturally gifted at? what are your unique talents and abilities?
[No need to try to be perfect, just be authentic and true to you]
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10
Grit
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What's the hardest thing you've ever done?
What did you learn about the experience(s)?
[No need to try to be perfect, just be authentic and true to you]
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11
Accomplishments
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What are your top 1-3 accomplishments you're most proud of? why are you proud of them?
[No need to try to be perfect, just be authentic and true to you]
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12
What type of business are you starting/running?
Select "Other" if you don't have a business or are doing something else not on the list
Coaching / Consulting
Agency
Course Creator / Info Product
YouTuber / Creator
In Person, Health, PT, Event Mgt, Physical Location Business
Musician / Artist / Entertainer / Comedian
Saas business
Ecom Store Owner
Not running a business and have no desire to run a business
Not currently running a business but want to
OTHER
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13
What's your website?
If you don't have a website add your main social media platform or type "no site"
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14
How big is your team
Solopreneur 1 Person
2-5
5-10
10-25
25-50
50-100
100+
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15
Briefly describe your business, offer, clients, how you serve them
*
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Who
you do you help?
Why
do you help them?
How
do you serve them?
What
is your pricing?
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16
Current Monthly Revenue/Income
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All figures are in USD currency
$1k /month or less
$1k- $5k /month
$5k- $10k /month
$10k- $20k /month
$20k - $50k/ month
$50k - $100k /month
$100k - $500k /month
$500k + /month
Prefer not to say
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17
What's the biggest bottlenecks for you right now?
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Biggest challenges / problems right now you're facing in business
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18
THE IMPOSSIBLE
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What would you like to achieve that current seems impossible? Let your imagination run wild, what would transform your life forever?
[not looking for the best answers, just what feels the most aligned your authentic self]
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19
THE QUANTUM LEAP
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If you were to look back 3 years from now and say "hiring Jordan as a coach was the best decision I have ever made in my entire life"..
what would need to happen both personally and professionally for that to be a reality?
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20
What the target monthly revenue/income you want to hit by the end of this year?
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21
How many hours per day and days per week do you want to be working to achieve that?
eg. I want to hit 30k /month working 3 hours a day, 4 days a week
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22
ADDTIONAL GOALS
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What else are you hoping to achieve this year? What personal or professional goals are top of mind?
[health, fitness, relationships, network, fun, adventure] Describe the
general direction
you want to move in.
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23
ROADBLOCKS
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What do you think are the roadblocks you need to overcome to move in the direction of your goals?
[These are in addition to your business obstacles]
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24
Whats Your Name?
First Name
Last Name
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25
Whats Your Best Email?
example@example.com
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26
Whats your number?
Please enter a valid phone number.
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27
COACHABILITY RATING
Please select what you most identify with...
Level 1: You see change as a massive obstacle, you hate having to change your plans and perspective because you feel like it's too stressful - often times you will even go out of your way to avoid critical feedback (knowing it will force you to change) so you can avoid stress
Level 2: You are a person who resists change but asks for feedback from people, peers, mentors, coaches around you but you rarely implement the guidance given to you. AKA an "Ask Hole" - someone who asks for feedback but does nothing with the guidance they are given because they would rather be right than to make progress.
Level 3: You are easily disappointed when things don't work as planned and find yourself constantly having to be convinced by mentors or partners to accept modifications to your plans and after a "struggle of wills" - you finally implement.
Level 4: You know that you're only limited by what you believe and how you behave and the path to your next level of power comes from having coaches, mentors and guides to help you get there by regularly challenging you to raise your standards and openly invite that "positive conflict" into your life.. you're willing and able to travel, spend time and energy and money into these types of relationships
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28
COMMITTMENT
How willing and able are you to invest into your business and performance?
[provided we're a good fit and I can help you reach the goals you're aiming to achieve]
100% committed - I'm willing and able to invest the necessary time, energy and financial resources to achieve what I want to achieve
Whatever it takes - I don't have the cash, but I can use my intelligence to find creative solutions to get the cash required
Not Committed - I can't afford to engage anyone for help at the moment. I'd just like to get more information so when I accumulate the cash or credit, I'll be ready to work with you
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