Your Vision & Readiness
1. Do you have a unique gift, talent, skill or passion you are ready to share with the world?
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Yes
No
2. Which stage are you in the creation of your empire?
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🌱 Idea stage: I know what my gift is, but I haven’t started building anything yet.
🚀 Start-up: I know what my gift is, but it’s not working how I dream.
🌟 Expansion: My business is rolling, and I am ready to take it to the next level.
3. Briefly describe what your unique gift or message is to the world.
(No matter if it’s in the idea stage or already a thriving business.)
4. Why is this gift and the message you’re sharing important to you? What is your BIG WHY?
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Your Current Challenges & Pain Points
5. What are the biggest challenges holding you back right now?
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6. How long have you been experiencing these challenges or feeling stuck in this phase?
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Less than 3 months
3 to 6 months
6 to 12 months
Over a year
7. How does staying stuck in this place impact your life, business, and vision?
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8. On a scale of 1 to 10, how much is this situation affecting your confidence, clarity, or ability to take action?
1
2
3
4
5
6
7
8
9
10
1 is , 10 is
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What You Desire & Want to Achieve
9. What is your ultimate vision for your business and life? What do you dream of accomplishing through your work?
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10. What would it mean for you to achieve this?
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(For example: freedom, financial success, impact, personal fulfillment, legacy, etc.)
11. How would your life look and feel if these challenges were solved and your vision came to life?
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(Close your eyes and imagine the rewards—describe them here.)
12. What do you feel you need the MOST help with right now to step into your next level? (You can select more than one.)
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Clarity on my message
Refining my offer & pricing
Identifying my audience
Structure, systems & strategy
Elevating my leadership energy & presence
Healing blocks around visibility, confidence, or imposter syndrome
Money mindset & expanding my wealth frequency
Other
13. What experience do you already have with your work?
Have you taken clients?
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Do you have any notable successes, testimonials, or reviews? Share briefly.
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Commitment & Readiness
14. To create profound results, the Creatrix Mastermind requires a minimum time investment of 6-10 hours per week. Do you have the capacity to dedicate this time to your growth and transformation?
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Yes
No
15. If we are the perfect fit to work together, how soon would you want to get started?
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Immediately
Soon (within the next 30 days)
Later (within the next 3 to 12 months)
16. Creatrix Mastermind is a premium container for women who are ready to invest in their vision and legacy. If this was the PERFECT program to guide you to your next level, would you be ready to invest €12,000 to make it possible?
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Yes, I’m ready to invest in myself and my vision.
No, not at this time.
17. Are you the sole decision-maker for your business investments?
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Yes, I make decisions independently.
No, I make decisions with someone else.
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About You
18. What’s your full name?
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First Name
Last Name
19. What’s your Instagram handle or website (if you have one)?
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Example: @laylaelkhadri or www.laylaelkhadri.com
20. What is your best phone number (please add your country code. Example +1 for USA)
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-
Area Code
Phone Number
21. What’s your best email address?
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example@example.com
22. Where did you hear about me?
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Advertising
Podcast
Referral
TikTok
Facebook
Instagram
Other
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Final Reflection
23. What makes you feel you’re ready for Creatrix Mastermind NOW? Why is this the right moment in your life and business?
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24. Is there anything else you’d like me to know about you, your vision, or where you are on your journey?
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