Inner Circle Interest Form

I'm selective about who I work with in the Inner Circle, not because I'm exclusive, but because fit matters.

This program is a mastermind for established entrepreneurs who are ready to lead at a level that matches the business they've built.

This questionnaire helps me understand where you are in your leadership and confidence journey so I can determine if we're the right fit to work together. If we are, I'll reach out personally to schedule a conversation about what's next.

Be honest. Be specific. The more I understand about where you are and where you're headed, the better I can help you.

Email *
First & Last Name *
Today's Date *
Email Address *
What is the name of your business?
(So I can understand the world you’re leading in.)
*
What is your position in the business?
(CEO, Founder, Creative Director, Executive, Consultant, etc.)
*

Tell me about a time self-doubt cost you something.

Maybe it was an opportunity you didn't pursue, a room you didn't speak up in, a decision you second-guessed until it was too late, or a promotion you didn't go for because you weren't sure you were "ready yet."

What would have been different if you'd trusted yourself?

*

If nothing changes in the next six months, what does that cost you?

And if everything shifts (your confidence, your presence, the way you show up and lead) what becomes possible?

*
What do you typically wear to work or client-facing meetings?
(Describe your go-to look — the pieces or styles you reach for most often. Please be specific.)
*

Does your current wardrobe reflect the leader you are now or the leader you were three years ago?

It reflects where I am now It's somewhere in between It's stuck in an earlier version of me

Tell me more:

*

The Inner Circle requires showing up consistently, receiving direct feedback, and implementing even when it's uncomfortable. What's most likely to get in your way?

(Time? Money? Fear of being visible? Difficulty with accountability? Resistance to changing how you've always done things?)

*
The next step is scheduling a consultation with me, would you like me to reach out to you and schedule a time for us to meet? (If yes, Please provide your phone number and I will message you.) *
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