Your Confidence Blueprint Intake Form
Email *
Name: *
How did you hear about this course? *
Do you have a full or part time job? *
Do you own your own business or make income as an entrepreneur? *
Are you happy with your income? *
If you aren't happy with your income, do you feel that YOU are part of the problem? Explain more. Your answers are confidential. *
Do you feel that you get taken advantage of a lot at work or at home, or both? *
How comfortable are you voicing your opinion or sharing an idea with others at work or in a group setting? *
Do you find yourself worrying about what other people think of you? *
How comfortable are you asking for what you want- at work? (Raises, promotions, different role, flexible hours etc.) *
How comfortable are you, if you own your own business, charging money for your services? *
Do you avoid confrontation- personally and professionally? *
How do you feel about making a lot of money? *
How do you feel about self-promotion: Examples: in a job search environment, prospecting for new clients, promoting your new eBook or online course, building your online audience etc? *
Free flow: tell me where in your life you are most frustrated with your fear/doubt/insecurity/lack of confidence? This helps me help YOU so don't hold back. Remember, answers are confidential. *
Would you like a complimentary 15 minute consult with me to talk more about your personal situation? We'll do one call at the start of the course and another one at the end so we ensure you are ready to TRANSFORM and start a new chapter. *
What questions do you have for me? *
Once we receive your answers, you'll receive an email with our invoice and a summary of next steps/dates & times for when we start our adventure together etc. Please be sure we have the best email to contact you with. *
Payment Options: Choose your plan. *
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