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Please fill out the form below so we can prepare for your appointment.

First Name*
Last Name*
Best Email (Please use the same as you gave for appointment booking)*
Please Select Call Preference, Audio Skype is the best option
Audio SkypeVideo SkypePhone
Phone number and Skype ID (If you asked for a skype call)
Your Business Website (If you don’t have one please type “No Site”)
Were you referred to us by one of our clients? If so, please type their full name below..
Current average monthly income you are making you’d like to discuss?
What is your target monthly income?*
What do you feel is your biggest obstacle to hitting your target monthly income?
Briefly describe your current business model and target clients. Don’t forget to mention who you serve and what you mainly sell.
What else have you invested in, as far as training or coaching to get you to where you are today?
Right now I…
If someone advised me to spend $1000 on creating workflows within the business, I would....
Do it if I felt it would increase my businessConsider it if someone else showed resultsConsider it carefully and assess if it would increase my business
Our coaching team will call you at the time you chose. Please commit to your appointment by typing this sentence in the box below: “Yes, I promise I will answer the phone or be available on Skype at the scheduled time for my breakthrough session”
What are some hobbies you love doing (that have nothing to do with business)?
Finally, on a scale of 1 to Bruce Lee, AWESOME are you?
1234Bruce Lee

*You need to fill this form only for the first time you visit.