Qualification Form
Question 1 of 15 7%

What is your name?

What is your email?

What is your phone number?

What is your TikTok username?

What specific result are you looking to achieve?

Be as clear as possible. What does a good result look like?

0/200

What have you already tried to fix this?

Be specific. What methods, programs, or approaches?

0/200

How urgent is solving this for you right now?

Not urgent 5 Critical

What is your biggest frustration with mindset work right now?

0/200

Which statement best describes you?

How much are you comfortable investing to solve this?

Have you invested in coaching, therapy, or personal development before?

What is your current monthly income?

What is your timeline? When do you want to start?

Which outcome matters most to you right now?

How ready are you to follow a structured process and do the work between sessions?

Not ready 5 Fully committed

Submitted

Thanks for completing the questions. You will hear from me within 24 hours with next steps.