Your Clarity Call

Application Form

Hey Lovely,

Before we get on the phone, here are X questions for you to answer.

I know that it’s a big ask to trust someone with your personal information so…

Rest assured that all your details are treated as *strictly confidential* and as such will be kept safe and *for my eyes only.*

Please type your answers in the fields below and I’ll get back to you within 72 hours to schedule a time for us to chat and see if we’re a good match for working together.

Thank you.

x Mariana

Name

Best Email Address

Your Website (if you have one)

1. Tell me about yourself and your business — What do you do? Who do you serve? What are your big goals and dreams?

2. What are some of the factors – both internal and external – that are holding you back from reaching your goals?

3. How have these factors impacted on you AND your business?

4. What three adjectives would you use to describe the best version of your entrepreneurial Self? How do you relate to these right now?

5. What drew you to my coaching and why would you like to work together?

6. What experience do you have (if any) when it comes to working with the unconscious part of your mind?

7. What are some of the things you'd like to experience in a session in order to feel that it was a success?

8. If we were to catch up a year from now, what changes would you want to see in yourself AND your business for you to feel awesome about your progress?

9. It takes a mix of curiosity and openness, courage and commitment, inner work and inspired action to create lasting change in my life and I'm willing to invest resources to make my vision my reality:

Agree

Disagree

10. Right now...

I have the financial resources and am ready and willing to invest in myself and the growth of my business

I have the ability to generate the financial resources so I can invest in myself and my business growth

I don't have any financial resources to invest in myself and my business growth

11. If you feel my coaching is exactly what you need, how soon can you start?

I can start within the next month

I can't start right now, I need 2 to 4 months

Not sure, I'm just checking out what's out there right now

12. Is there anything else you'd like to share?

Your Clarity Call

Application Form

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