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form - you and your business

This form will help me know more about you and your business !

PLEASE NOTE:

  • Don’t forget to fill this form at least 24h before our call, otherwise I won’t be able to go ahead with the call.
  • All information is strictly confidential: under no circumstances will these data be transmitted to a third party.
  • Only fill this form if you’re ready to be fully involved in a 100%-customized coaching!

PART 1 - LET’S START WITH YOU!

Do you consider yourself as a*...


YOUR BUSINESS

Are you currently…*

Your company is currently…*


OUR CALL

What degree of importance do you attach to this/these problem(s)?*
(from 1, low importance – to 10, critical importance)

What degree of importance do you attach in achieving these goals?*
(from 1, low importance – to 10, critical importance)


Please note that the coaching we’ll talk about is fully customized. It requires a total implication and a financial investment (greater than X XXX$ - payment plans with no extra fees are available). Are you ready to invest in you and your business?*

Yes, right now!Yes, within 1 to 3 monthsNo, not yet

*Required fields

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