Clarity Form : Leadership/Consulting Programs Application
I deeply respect you and your time. If you invest the next 5 minutes into filling this out, I can begin to put together a framework for a real time conversation about how we can help one another. 

For best use of our time and to feel you get what you need, please help me understand your current resources, who you understand yourself to be in your market or life right now and your current boundaries. 



NOTE: Please Write N/A if you do not wish to answer a question at this time or feel it does not pertain to your goals at this time. 


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Email *
What is the best number to contact you for follow up? *
How did  you connect with me? ( Be specific if you can)  *
Are you already using AI ? ( Be specific if you can)  *
Are you using an active app or community experience? 
(Be specific if you can) 
 *

What is your #1 goal for this consult ?


 *
What industry are you in?  If it is a business, What is your current role in this?  ( aka- What does your Linked in Bio say?) *
What platform/ business do you want to own in 90-120 days from now?   *

Are you stuck or moving too slow? If so,

— How long have you been trying to fix this?

— What is frustrating you most about this issue?   


 *
What do you see as the main challenges you have faced before in building a brand, sales or expanding your enterprising or impact?  Feel free to write "I don't know" *
Your answer

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Thinking holistically, what top three things are you interested in doing this next year that have eluded you before? Have you been coached or trained on achieving these specific goals yet?  Be specific.  *
How do you define success now and how has it changed over the past 5 year(s)?   *
List 3 things you love about your current processes and impact? *
Moving away from what no longer serves you, what do you hate about your lifestyle , career, business, leadership, right now? If nothing write n/a. *
Are there any gifts and talents you feel are underutilized but valuable?  *
 Do you have any experience in coaching, teaching, writing, community build, consulting or public speaking?  *
Why make a curve and reorganize right now vs before? 
What is the most common feedback you get in terms of your leadership ability ?
What is the most common feedback you get from past  mentors, teachers ?
What is the most common feedback you get from friends and family in more personal relationships?
What is the most common feedback or struggle you find when you are trying to present something new or make a move into a more bold contribution in your current circles?
How do you prefer to learn? *
Required
What level investment are you ready to put into this next leap over the next 3 months? We can craft your strategy around it.  *
Any other thoughts around this conversation or questions you would like to share?
Can I add you to my general email list for access to a variety of tools and save you some time getting updated health, growth and development resources? 
Next step:  Thank you so much!  . I will be reaching back in the next 24- 36 business hours to send some feedback so we can meet in person to collaborate or set you up as an advocate member. 
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