Plan "D" - The Reset Voyage Client Intake Questionnaire
Please complete this questionnaire so we can better understand your situation and goals. Complete this survey as thoroughly as possible, as we will be better able to serve you and co-create amazing results.

After submitting the form, you will be directed to the calendar to set up a 30 minute call. ALL INFORMATION will be strictly confidential. We do NOT share your information to anyone, including third parties.

Email address *
Personal and Business Background Information
Is this a group application? *
If this is a group application, please note that each applicant must fill out this questionnaire individually.
Required
First and Last Name *
Your answer
Please briefly describe your business, including your main responsibilities: *
Your answer
Why did you start your career in the first place? *
Your answer
What are your 3 main challenges in business right now? *
Your answer
What are the 3 main challenges in your private life right now? *
Your answer
What are your 3 main health issues right now? *
Your answer
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