Contact information
Email address *
What service are you interested in? *
Required
Please send me answers to the following questions over email, prior to our exploratory call. Write down freely whatever comes to your mind, so I have a deeper sense of where you're at right now both personally and professionally. 
Thank you for answering each question fully so I can best help you. Please get these back to me at least 2 full hours before our scheduled call. Thank you! Valerie
1. What is your objective for working with me?

Your answer
2. What challenges/obstacles are you currently facing?
Your answer
3. Have you tried to change this before?
4. What have you attempted in the past that didn't work?
Your answer
5. Why do you think it didn't work?
Your answer
6. What were your 3 biggest accomplishments over the past 12 months?

Your answer
7. What do you see as the major challenges holding you back from reaching your goals this year?
Your answer
8. List your top 3 personal fears, doubts or limiting beliefs would you have to release to start realizing your goals?
 *
Your answer
9. What’s something you want to do in the next 6 months that scares you?
Your answer
Have you every worked with a mentor or deep training?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy