Getting Started Discovery Questionnaire

Getting Started Discovery Questionnaire
Your Name *
E-mail *
Phone Number *

Area Code Phone Number
Your thoughts today
What is it that had you wanting to connect with a System Coach now? *
What isn't going well that you'd like to change (in you, in your life, in your business)? *
Describe how you want things to be. *
What are your business goals for the next 6-12 months? *

On a scale of 1-10 (1 being "Maybe Someday" and 10 being "I'm ready to START NOW"), how willing are you to explore the mental roadblocks, the planning and the doing that may be keeping you from living the life and level of success you've dreamed of? *

	1	2	3	4	5	6	7	8	9	10

1 is Maybe someday, 10 is I'm Ready to Start NOW

What else is important for me to know? *
I’m celebrating YOU for being willing to examine where you are in your business, consider what isn’t working for you and take the next step in exploring how you can receive support to streamline tasks, shift your mindset and expand your business!
How did you hear about me? (If someone personally referred you, please share their name with me so I can be sure to say thank you.)
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