Name
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First Name
Last Name
Email
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What is your ONE biggest goal / desire for 2023?
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On a scale of 0-5, how committed are you to reaching this goal / desire?
0 being "Not ready to commit yet" and 5 being "I'm ready right now!"
What is the biggest reason you feel you haven’t achieved the goal / desire?
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Have you ever invested in mentorship or coaching? If yes, what was your experience? If no, why not?
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We really want to price our products and services in a way that serves you the best way we can! Where are you at in your business?
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What is your current source of income?
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My own business
Part-time employment
Combo of the above
Full-time employment
I don't currently have an income
How much time every week do you have to put towards your inner transformation and getting paid for your passion?
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If we could give you one thing that would help you reach your goals this year what do you think that would be?
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Have you taken any of Amber's programs? (Please check all that apply)
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What do you feel you struggle the most in your business? (Please choose your top 3)
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Which best describes your business?
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Coach
Artist/Creative
Service Provider
Product-based Company
Physical Location-Based Business
I don't have a business currently
We would love to connect with you, personally, to chat about your goals & what you shared. What is your preferred method of messaging?
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Text Message
Instagram DM
Email
Facebook Messenger
Please share your deets with us ( IG/FB username, Text #, Email) so we can message you
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Anything else you want to share?
