More questions recommended to include in the Application Form...

Phone Number:

Which best describes your situation?
1. New / Not serious
2. Been at this a while  Still struuggling
3. Struggling for a while / Desperate for a solution

Please describe in your own words,  what you are struggling with the most right now and how its affecting your quality of life?

What do you want to achieve from working with me, what is the BIG goal/outcome?

Do you have the financial resources to invest in coaching/training IF what I have is EXACTLY what you need to FINALLY [FILL THE BLANK]
1. Yes I have the money to invest in finding a solution
2. Yes I can access money to invest in finding a solution
3. No I cannot invest in myself right now

Finally, where are you in this scale of 1-10? 1 being "I'm not very serious about [FILL IN THE BLANK]" and 10 being "I'll do WHATEVER it takes to [FILL IN THE BLANK]"

Anything else you feel I should know?