Intake Form
This is an opportunity for me to learn about you and your goals in joining a leadership platform. Please answer as honestly as you can.
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Your name *
Your email *
What do you do? *
How long have you been working at that job/career? *
What do you need right now in your leadership journey? *
If a genie popped down and granted your every professional wish, what would life look like? *
How will working with me will help you? *
How much do you spend on your personal development a year? *
I always appreciate it when people tell me how much it is to work with them. Membership in our Mastermind is $1500 a month. Is this in line with what you hoped to spend? *
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