Women's Success Accelerator Application Form
By filling out this form you are indicating your interest in the Women's Success Accelerator program. I will review your application to see whether this program is a good fit for you. You will receive an email from me within the next 48 hours. Note: there is no obligation to take part in the program if you at any point decide that we are not a match.

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What's your name? *
What is your best email address? *
Your mobile number *
What do you do career wise? *
Can you tell me a bit about your relationship status and family circumstances? *
What are your main life, career, and success aspirations, dreams and goals? *
What is not going well in general for you right now? What are the main barriers and struggles you have with achieving your aspirations? *
What does being a confident leader mean for you? *
How are your stress levels?
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How do you take care of yourself at the moment?
Do you have any coaches, therapists or healers that are supporting you?
Are you taking any supplements or medication?
Do you think your friends, family and work colleagues will be supportive of you making changes?
How ready do you feel to make changes?
The Women's Success Accelerator is a transformational programme that comes with an investment that matches the results you will get. Are you willing to invest £5000 in yourself and make big changes? Payment plans are available to support your decision. Personally tailored corporate proposals/invoices for your workplace can also be provided if they will fund all or part of the investment. *
Anything else you'd like to share?
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