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Please fill out the form below so we can prepare for your appointment.

    First Name*
    Last Name*
    Best Email (Please use the same as you gave for appointment booking)*
    Please Select Call Preference, Audio Skype is the best option
    Audio SkypeVideo SkypePhone
    Phone number and Skype ID (If you asked for a skype call)
    Your Business Website (If you don’t have one please type “No Site”)
    Were you referred to us by one of our clients? If so, please type their full name below..
    Why did you book in the call, what were you hoping to get out of the session?
    Current number of hours you work per week in the business you’d like to discuss?
    What do you feel is your biggest obstacle in achieving a work/life balance?
    Briefly describe your current business. Who do you serve? What do you sell? How many people are on your team?
    What else have you invested in, as far as training or coaching to get you to where you are today?
    If someone advised me to spend $1000 on personal/employee training or engagement, I would....
    Our coaching team will call you at the time you chose. Please commit to your appointment by typing this sentence in the box below: “Yes, I promise I will answer the phone for my breakthrough session when my coach calls.”
    What are some hobbies you love doing (that have nothing to do with business)?
    Finally, on a scale of 1 to Superman, how AWESOME are you?