VIP COACHING W/ SUZE
Please fill out in as much detail as possible. You will be contacted within 48 hours from the time you submit your response.
Full Name: *
Your answer
Best Email *
This email will be used for everything. All exercises, follow ups, appointments etc.
Your answer
Website
(if you have one, no worries if you don't!)
Your answer
Phone Number *
Your answer
Full Mailing Address *
Your answer
Time Zone *
Your answer
Skype Handle *
If you do not yet have Skype, you can download it here: http://www.skype.com/en/ It's FREE and very easy to use.
Your answer
Please describe what your biz & life looks & feels like right now. *
Your answer
What are the TOP 3 most challenging areas of your work / lifestyle right now? *
What's NOT working. If you know why you can add that too.
Your answer
What is THE most pressing goal or desire that you have right now? What feels the most URGENT? *
Your answer
What do you feel is holding you back or what has gotten in the way of creating or achieving what you want up until now? *
Your answer
What is it costing you to NOT have these desires? *
Be specific and answer in terms of lost money, time, relationships, health and happiness.
Your answer
Have you tried or done anything to solve this problem? If so please let me know what. *
eg. coaching, energy work like EFT, courses etc. Please be specific.
Your answer
What do you feel you need the most help with right now? Check all that apply. *
Required
How familiar are you with the Law of Attraction and do you know how to use it? *
Check all that apply. If you have other comments please put in "other" box.
Required
On a scale of 1-10 how COMMITTED are you to stepping out of you C-Zone? *
Your answer
By filling out this application I am only showing interest in coaching and I'm under no obligation to join or make payment. I understand that a separate payment contract will be submitted for my review after my application is accepted.
By entering your name below, you're stating that you've read and understand the above statements.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms