Ladies Shine Program Signup

1

As an entrepreneur, what is your personal goal or desire?* This field is required.

2

As an entrepreneur, what would you say the biggest challenge is or what have you struggled with?* This field is required.

3

What do you desire for your clients?* This field is required.

4

What has gotten in the way of your desires being accomplished?* This field is required.

5

Cultural influences: have you travelled extensively or ever lived in another country?* This field is required.

Yes

I have dreamed of traveling extensively but haven't

I have dreamed of living in a different country but never have

No

6

Which language(s) do you speak at a conversational level or better?* This field is required.

7

Friends and/or colleagues would most likely describe me as: Check all that apply.* This field is required.

fun loving & enthusiastic

detailed oriented & organized

determined & focused

quiet & reserved

talkative & outgoing

warm & empathetic

helpful & generous

8

When asked to work in a team I often feel:* This field is required.

Enthusiastic! I love taking the lead

Hesitant... I want someone to take the lead

No problem, I enjoy collaborating

Distressed, I will probably have to do most the work

No Thanks, I prefer to work solo

9

In your opinion, what do people in general fear most about presenting to a large group?* This field is required.

Fear of not being prepared

Fear of public scrutiny

Fear of appearing less knowledgeable

Fear of passing out

10

How would you describe your current status? Check all that Apply* This field is required.

Aspiring Entrepreneur

Entrepreneur - I am currently running a business

In between careers

Employed full time

Retired

11

Approximately, how much time would you be able to commit to an intensive program?* This field is required.

3 hours a month or more

2 hours a month

2 hours a week

1 hour a week

Not much

12

For online businesses, why do confident communication and presenting skills matter most in your opinion?* This field is required.

To share information and clearly communicate thoughts and ideas

To be able to express yourself passionately

To be able to change hearts and minds

To be able to create a global network

To have more money, more power and more influence

13

When you think about presenting in videos, webinars, events or interviews what keeps you from showing up more confidently? How have you struggled with being seen? * This field is required.Explain any past experiences here:

14

Future Vision: What is the overall goal you hope to achieve as a confident communicator and presenter?* This field is required.

15

After a successful completion of the program, would you be willing to give a video testimonial?

Hell Yeah

No Way

Maybe

16

When you imagine transforming into a Rockstar confident speaker.. What's your level of commitment? [5=Super committed]* This field is required.choose from level 1 to 5

17

Name* This field is required.

First Name

Last Name

18

Email

example@example.com

19

Please add any comments or questions here.