Breakthrough Call

1
Paid
2
Yippee! this person's paying for this call!
3
Full Name
First Name
Last Name
4
Best EmailMake sure this is an address that won't send our communications to a Spam folder
example@example.com
5
AppointmentWhen would you like to meet to discuss your future
6
What are you most important goals right nowUse the formatting toolbar to present your goals carefully, and list them in order of importance, using bullets
Huge
Large
Normal
Small
Ok
Ok
7
In your opinion, what are your current biggest obstacles to achieving these goalsFocus on your top three goals if you listed more than three
Huge
Large
Normal
Small
Ok
Ok
8
In your opinion, what aspect of your current personality is limiting your success in this regardThink about how changing something about you (not outside you) would make everything easier
Huge
Large
Normal
Small
Ok
Ok
9
What methods, services, or products are you currently using (or have you used) to work towards these goals
Huge
Large
Normal
Small
Ok
Ok
10
Please select the option that describes you best, right now
I believe that investing in myself and my personal transformation is valuable (worth my time, energy, and financial commitment)
I do not have the means to invest in myself or my personal transformation at this time (time, energy or finances) or it's not my priority right now
11
I take time from my calendar to conduct these sessions, so I require a commitment to showing up on time, and to being distraction free. By agreeing, you promise to arrive at the call on time, and to remove any distractions from your environment before the call.* This field is required.
12
Should be Empty: