What's your name?

What's your best e-mail addres?

What's your phonenumber*

Country*

Age*

Describe your business + Link to your website*

What's the biggest challenge in your life right now?*

Where do you want your life to be in the next 90 days?*

Why aren't you there already? Whats the biggest thing stopping you (that you can see)?*

What would be the cost to you of NOT overcoming this struggle, and if you don't do something about it NOW? (This cost can be emotional and/or spiritual and/or physical and/or or financial. How does this cost negatively impact your business, life, health, wealth, and relationships?)

What coaching, training and/or services have you invested in over the last 3 years? Please describe

On a scale of 1-10, how much do you want to accomplish this business dream? Why?

If you and I decided to work together, what would be the main result or outcome you'd want to get in the next 3-6 months? Why?

On a scale of 0-10, how ready are you to invest money, time, and energy in accomplishing your vision / dream for your business & life? Why?