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Rewired In 90 Elite Coaching Program Discovery Call
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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Please enter a valid phone number.
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4
5. What self-sabotage pattern are you struggling with most right now?
(Examples: procrastination, perfectionism, people-pleasing, self-doubt, fear of visibility, imposter syndrome, starting but not finishing, etc.)
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Procrastination
Self-Doubt
Perfectionism
Imposter Syndrome
People-Pleasing
Starting But Not Finishing
Other
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5
How is this pattern affecting your life, relationships, business, or calling?
(Be specific - What opportunities have you missed? What goals have been delayed? How does it make you feel?)
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What is your biggest challenge or obstacle right now when it comes to overcoming self-sabotage?
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7
What specific results or transformations are you hoping to achieve by joining the Rewired In 90 Elite Coaching Program?
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8
Have you worked with a coach or participated in a personal development program before? If so, what was your experience?
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Yes - Positive
Yes - Negative
No
Other
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9
On a scale of 1-10, how committed are you to doing the deep work required to transform these beliefs?
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Please Select
1
2
3
4
5
6
7
8
9
10
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Please Select
1
2
3
4
5
6
7
8
9
10
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10
Are you able to dedicate 2-3 hours per week for program activities, reflection, and group sessions over the next 12 weeks?
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YES
NO
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11
Are you prepared to invest $3,997 in your personal and spiritual growth to participate in the 12-week Rewired In 90 Elite Coaching Program? (Flexible payment plans are available.)
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Please Select
Yes, I’m ready to invest in myself (and would like to learn about payment options)
I’m interested, but I have questions about investment or payment plans
Not at this time
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Please Select
Yes, I’m ready to invest in myself (and would like to learn about payment options)
I’m interested, but I have questions about investment or payment plans
Not at this time
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12
Schedule Discovery Call
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What day and time would you like to do the session?
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