Vision Quest Intensive Day Application
Thank you for your interest in spending a private Vision Quest Intensive Day with me. This isn't a seminar or a group coaching program, it's one focused day designed entirely around you, your future, your business, and your life. Please answer these questions honestly. There are no right or wrong answers.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Best Time to Contact
*
Hour Minutes
AM
PM
AM/PM Option
What inspired you to apply for a VIP Vision Quest Day?
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If you spent one incredible day together, what would you love to walk away with?
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What is the biggest challenge or decision you’re facing right now?
*
If nothing changes over the next 12 months, what concerns you most?
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What does your ideal life or business look like three to five years from now?
*
What do you believe is standing between where you are today and where you’d like to be?
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What strengths or gifts do you believe you bring to the world?
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On a scale of 1 to 10, how committed are you to creating meaningful change?
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Not at all committed
1
2
3
4
5
6
7
8
9
Fully committed
10
1 is Not at all committed, 10 is Fully committed
If your commitment is less than 10, please share why.
Tell me a little about yourself, including business, career, family, and anything else you’d like me to know.
*
Why is now the right time for a Vision Quest Day?
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Have you worked with a coach or attended personal development programs before?
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Yes
No
If yes, what worked well and what didn’t?
Is there anything that would help prepare for the day together? (e.g., health concerns, mobility, food allergies, learning preferences, or anything else)
Submit Application
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