Hi there!
Thanks for expressing an interest in coming aboard my mentorship programme.
I want to make sure that I am the right person to move you, your career and your life forward. In order to do that, it'd be great if you could fill out this very simple form.
It should only take a few minutes, but it will go a long way towards my understanding as to whether this is the right thing for you.
There are no right or wrong answers, just honest ones, so please do your best to be true to yourself.
Once you've filled this out, I'll read through your answers & give you a call.
Talk soon!
Andy