Decision Clarity Intake

1

Full Name* This field is required.

First Name

Last Name

2

Email Address* This field is required.

example@example.com

3

Phone Number (optional)

Please enter a valid phone number.

4

Are you the primary decision-maker in this business?* This field is required.

Yes

No

5

If we determine there is structural fit, are you prepared to invest in a 4-week recalibration container?* This field is required.

Yes

I would need to review timing

Unsure

6

When clarity becomes uncomfortable, I tend to:* This field is required.

7

If structural misalignment is identified, how quickly are you prepared to address it?

8

What decision are you currently avoiding or struggling to make?* This field is required.

9

How long have you known this decision needs to be made?* This field is required.

Less than 30 days

1–3 months

3–6 months

More than 6 months

10

Which statement feels most true right now?* This field is required.

I want clarity, even if it’s uncomfortable

I want support, but only if it feels easy

I mostly want reassurance

I’m not sure what I want

11

If clarity reveals something you don’t want to hear, what would you do?* This field is required.

Sit with it and decide

Need time to process before acting

Probably feel overwhelmed

I’m not sure

12

Are you prepared to act on what becomes clear, rather than collect insight and do nothing?* This field is required.

Yes

No

13

This conversation is paid to ensure focus and mutual respect for time. Does that feel appropriate to you?* This field is required.

Yes

No

14

Acknowledgment* This field is required.

I understand this is not a coaching session or emotional support call

I understand this conversation is focused on clarity and decision-making

I understand scheduling is unlocked only if I qualify

15

Qualification Status (hidden)

16

Disqualify Reason (hidden)

17

Terms and Conditions* This field is required.