PRODUCTIVITY BREAKTHROUGH
I’m really excited that you're interested in working together!

Please take ~15 minutes to complete this form, so we can have the greatest impact during our scheduled conversation. 

The Productivity Breakthrough Session is designed to clarify whether we're a good fit to work together.
My goal is is to clearly understand your productivity struggles.
And to determine whether I'm the right person to help you clear your path and move forward.

If I can help you, I'll share how I work.
But if my programs aren't the right fit, I'll help you find someone who's a better option.
I know lots of incredible resources!

Thank you in advance for completing the application thoroughly & honestly!

When you complete it, you'll see a link to schedule your breakthrough session.
Cj, my business manager, will send you an email confirmation.


IMPORTANT: If you don't have time now, don't rush through it!

ANY questions, email support@catherinavery.com

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Email *
Full name *
Phone Number *
Today's Date *
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I'm most interested In.. *
Who or what inspired you to contact me for productivity help? *
If the referral source was not listed, please note it here:
I'm tired of being tired and know there's a better way to work and live. I'd like to get started learning how now. *
I'm looking for a solution to manage my time, space and information more efficiently and effectively. *
I am ready to harness my superpowered brain and be the master of my productivity. *
I want to stop wasting time and am able to invest in an expert who can help me be more productive and less frustrated. *
LET US TALK ABOUT YOUR PRODUCTIVITY NOW
Tell me about your work and the problems you solve at work. *
RANK YOUR CURRENT PRODUCTIVITY SKILL SETS
Time Management *
Poor
Excellent
Workspace Organization *
Poor
Excellent
Digital Information Organization *
Poor
Excellent
Work Life Balance *
Poor
Excellent
Self Care Routines *
Poor
Excellent
Systems for Getting Things Done *
Poor
Excellent
Reminder: All questions on this form are completely confidential. The more you share, the quicker you can experience your attention breakthrough!
Do you have a brain based challenge such as ADHD, TBI, anxiety, depression, dyslexia? *
How would you describe the biggest productivity and/or business challenges you're facing right now? *
Describe what you'd like your business and life to look like 12 months from now. *
On a scale of 1-10, 10 being extremely important and 1 being not at all, how important is it for you to solve these challenges so you can get your business and life to where you want it to be? *
Not important
Extremely Important
Why now? *
What else is important for me to know before we have our private conversation?
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