Clarity Call Application
Hey, it's Kelly!
I take women from stuck and stressed to clear and confident about who they are, what they want, and how to get it... in record time.

This application is to talk on the phone with me to find out if we are a good fit to work together in a paid program. 

This call ISN'T:
  • a sales pitch
  • free coaching
I'm selective about who I work with because I want you to be a success story! 

Working with me requires an investment of time, energy and money. 
  • You'll find you have MORE time as we work together because your life will become simpler and more peaceful.
  • Your physical and emotional energy will INCREASE working together!
  • Your results will prove your financial investment in yourself was a GREAT decision. 
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What is your first name? *
What is your last name? *
What is your email address? *
How did you hear about Positive Women Rock? *
How young are you? *
What is the #1 area of your life are you ready to improve immediately? *
How will improving this part of your life positively impact you immediately and in the future?  *
What have you ALREADY done to help yourself in this area and what has been your BIGGEST challenge? *
What are the #2 and #3 areas of your life you want to improve? *
Have you been coached before?  *
You MUST have access to money to invest in yourself to have a free Clarity Call and potentially work with me.
Do you know of anything that might stand in the way of you making this improvement in your life? (Examples: fear, not ready, bad experiences, unsupportive partner.) Please explain.
Are you a visual person - able to daydream or picture what someone is describing to you? *
What is your country and time zone? *
Your phone number with country code (Example of a U.S. number is +16558903476) *
Do you have reliable internet available for a web-based call or video call? *
What SPECIFIC days and times are best for you for a Clarity Call (weekends are good too!) *
Is there anything else you'd like to share? *
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