Empowerment Interview Application

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The sender of this form requests a free 2 hour interview with John Williams

Email *

Purpose

The purpose of this interview is to help you discover what you need to do to empower yourself to the next level. Even if our relationship goes no further than this interview, if you are willing, our guarantee is you will receive overwhelming value for the investment of your time.

Senders Name

Contact phone number (please include ISTD codes)

Referee (The person who sent you the link to this form)

PLEASE NOTE:

This interview would normally be charged at USD $325 per hour. You will not be granted an interview unless the name entered above is known to John and permitted to offer this commitment of his time at no charge. Please note your referee will not receive any remuneration of any kind should you decide to work with John .

It is important that you answer all of the following questions as completely as possible to ensure you receive maximum value from your Empowerment Interview.

What country do you live in?

What time zone do you live in?

Please advise 3 time brackets during which you would be able to attend the interview uninterrupted? (Please state availability in terms of day of week and times ie: Mondays 2pm - 5pm, Tuesdays all day etc) We may not be able to cater for your needs but we will take your requested times into consideration.

What do you think gets in the way of you achieving what you'd like achieve?

Why are you making this application?

Please explain in your own words what role do you believe your actions, or lack thereof, have played in creating the results you are now dealing with.

What is the greatest highlight in your life?

What what was the lowest point in your life?

What is your greatest strength?

What area of your life you would most like to improve?

What is the one area that would make the biggest difference in your life right now?

Please confirm your willingness to make a change in your life?

I am ready and willing to do what it takes to make a change in my life

It will depend on the outcome of the interview

It will depend on what the cost of making the change is

Other:

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A copy of your responses will be emailed to the address you provided.

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