Wealthy Life By Design™ Clarity Consultation Application
You are in the right place if you know it's time for you to create a more robust and welcoming relationship with the Wealthy Life that's your BIRTHRIGHT!
Fill out the information below and know that everything is confidential. I will followup with you shortly - congratulations on taking this brave and bold step.
* Required
Email address
*
Your email
Let's....
Your Name (required)
*
Your answer
Phone Number (required)
*
Your answer
What's Your Vision/Dream/Goal/Calling? How and who are you inspired to help and why?
*
Your answer
What does a more Wealthy Life look like to you?
*
Your answer
Do you have Your Own Business? If So What's Your Business Name & Website?
Your answer
Yearly Business Revenue or Salary if Employed
*
Choose
Under $100,000
$100,000 - $500,000
$500,001-$1million
$1million - $3million
Over $3 Million annually
Over $10 Million annually
Are you able to invest in yourself or your business to initiate working together? (required)
*
Yes I can immediately do that.
Yes if you allow me to finance it over a year.
Yes and I'll need your assistance to figure in how to finance it.
No I won't do the work to finance my vision and answer the call - it's not good timing for me yet.
In addition to yourself, who else is involved in the decision making process?
*
Your answer
Are you willing to take suggestions, advice, coaching and make changes where necessary?
*
Yes
No
Required
Complete the following sentence. I am a(n)...
*
Action Taker - I see opportunity and know instinctively & instantly when its a great fit to move ahead
Procrastinator - I decide to move ahead, then I pull back when it's time to actually get things done
Risk Averse Person - I rarely if ever take action and find opportunities almost always pass me by
If someone referred you please indicate who or how you found your way to this form
Your answer
What's Your TIME ZONE?
*
Your answer
We will be in touch with you to provide a scheduling link if we discern we have a spot for you in our calendar! Is there anything else you want to let us know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
