Bara Sapir's Full Potential Strategy Session Pre-Chat Information Form
Hi there! So great to see you made it over here. I'm excited to speak with you to discuss actionable steps you can take to move towards your goal - - whether that's earning top score on a high stakes tests, releasing test anxiety, or changing habits that no longer serve you. Before we talk, I'd love to learn a little more about you to make our time together helpful and efficient. Fill this out, and at the end you'll find the link to set up our 15-minute Full Potential Strategy Session! Thanks!
I can't wait to share catalysts and sure fire methods you can make to meet your goals and manifest your dreams.
Where do you live? (city/country)
Skype ID for those out of the USA
How did you hear about this strategy session - - webinar, talk, lecture...please include webinar name, date and if it was a referral.
What goal(s) are you seeking to meet/dream desiring to fulfill?
How did you hear of me?
I don't remember
If taking a test, what test and when is your test date?
What are you top three challenges or blocks related to your goals and dreams
Do you have feel anxiety or worry?
What else is else bothering you? Even a little.
What are you doing or plan to do to improve your situation?
Have you ever used holistic or mindful techniques?
If yes, what have you done and how did it help?
If preparing for a test: How do you study? How are you preparing for your test? (Pick the one that is more pressing).
Self study with books, online sites or Aps
Therapist for my nerves
Not preparing: I got this
What are you hoping for in our conversation?
What is your timeline in wanting to work on your goal?
The next couple of weeks.
Next 2- 3 months
Next 6 months
I need ongoing support. No time limit.
Are you willing to invest in mentor or coach for support?
Yes - I invest in myself often and get massive returns on my investments.
Maybe - I've never had a mentor or coach but I'm committed to changing things for the better.
No - I prefer to go at it alone using books and other resources.
I don't know. I'd like to learn more.
Is there anything I have not asked that you feel I should know?
Awesome! Great job! All done!
Now set up your 15-minute time with me here:
. If none of the times offered work, reach out to me directly at
Looking forward to helping you make shifts and changes for good!
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