10 Rings of Power Manifesto

10 Rings of Power Manifesto

Please complete this form so we can determine if this information is a match to your level of goals and needs.
Your Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Country

Please indicate how you feel about the following:

Rows	Fully Satisfied	Doing Great	Neutral	Could Use Help	Very Discouarged
Wealth
Attraction Skills
Well-Being
Relationships
Physical Health

My Current Yearly Income (USD)
I have budget side aside for education and training.
I have had previous experience with personal coaches.
I've had previous experience with mastermind groups.
Please rate your ability to make money.
Please rate your ability to connect with people
Please rate your Law of Attraction satisfaction
Please rate your spiritual satisfaction

I have a desire to grow my business

	1	2	3	4	5

1 is No Desire, 5 is Extreme Desire

I have a desire to create better relationships

	1	2	3	4	5

1 is No Desire, 5 is Extreme Desire

I have a desire to create change in my life

	1	2	3	4	5

1 is No Desire, 5 is Extreme Desire

I am comfortable making changes in my life

	1	2	3	4	5

1 is Not Comfortable, 5 is Very Comfortable

Please describe what you wish to gain from working with Joe.
Please briefly describe your six month goals
Please describe your 1 to 3 year goals
Please describe your long term or legacy goals.
What do you want to have, do, or be?
What other information would you like Joe to know about you?
Should be Empty: