Dean Williams Mentorship Programme Form
Thank you for your interest in our mentorship programme! To better understand your needs and goals, we kindly request you to complete this screening questionnaire. The information you provide will help us assess your eligibility and your responses will remain confidential and will be used solely for the purpose of evaluating your suitability for our mentorship programme.

We appreciate your time and look forward to potentially having you as part of our mentorship community. Let's unlock your full potential together! 😊

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Email *
Full name *
Date of Birth *
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Phone Number *
Where are you based (country and town)? *
Which industry do you work in? *
What is your profession? *
How long have you been working in your profession or business? *
Required
What specific personal growth targets or milestones would you like to achieve in the near future? (100 words) *
What are the potential personal barriers or challenges that have hindered your growth thus far? (100 words)
 *
What specific professional/business growth targets or milestones would you like to achieve in the near future?  (100 words) *
What are the professional/business barriers or challenges that have hindered your growth thus far? (100 words)
 *
How do you currently manage and streamline your business processes? (100 words) (if applicable) 
Which of the following pain-points resonate with your current business challenges? (select all that apply) (if applicable)
What specific areas of expertise or industry knowledge are you seeking from a mentor? (100 words)
What are your expectations from a mentor in terms of support and guidance?
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Have you previously participated in any mentorship or coaching programmes?
 *
Required
If you answered yes, please describe any previous experiences or initiatives where mentorship played a significant role in your business development? (100 words)
Do you have a disposable income of £600p/m? *
Required
Are you comfortable paying a non-refundable deposit for the mentorship package? *
Required
How long are you willing to commit to a mentorship program? (minimum term is 6 months) *
Required
Which Mentorship Package are you planning to choose? For more information on the packages please see deanwilliamsmentor.com.
 *
Required
Any other comments
Thank you
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