Take Back Your Time - Getting Started Questionnaire
Welcome to Take Back Your Time!

So that we can make sure you get the most out of the program, start by giving us background on your goals and challenges.

Be as clear and honest as possible!

Tell us ALL THE THINGS :-)
Sign in to Google to save your progress. Learn more
1. Name (First and Last) *
2. Email *
3. Phone Number *
4. Mailing Address
5. LinkedIn Profile
6. How did you hear about the program? Please be specific. *
7. What was the biggest factor in you enrolling in the program? *
8. What’s holding you back from finding a clear path to achieving your most important goals? *
9. What are the top 3 hurdles you’re facing? *
10. What are you currently doing to solve these challenges? *
11. What do you want your life to look like in 3 months? In 6 months? In 1 year? *
12. What are you hoping to accomplish through Take Back Your Time? *
13. What aspects of the program are you looking forward to the most to help you achieve your goals? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.