First Name *

Last Name *

Phone Number *

City and State *

Which strategy are you primarily interested in (check more than one if applicable?) *

What do you consider your experience level right now? *

What are your immediate goals (in the next 6 months?) *

Where would you like to be 12 months from today? *

What do you see as your main roadblocks and challenges to build the real estate business you want? In other words, what is not working? *

On a scale from 1 to 10, with 10 being the highest, what is your commitment level to get your real estate investing business going NOW? (If it is less than 10, explain why) *

What real estate mentor have you worked with (if any?) *

Working personally with Laura is a $50,000 investment for one year. Are you prepared, willing and able, to make a $50,000 investment? *

Why should Laura consider working one on one with you? *

Do you consider yourself "coachable?" Any final thoughts and considerations? *