Real Conversation Application

Please answer the following questions completely.  The greater understanding I have about your situation, the more likely it is I will be able to determine if we are a fit to work together.  Your detailed answers are meant to help clarify for me how what I do can benefit you.

I recognize it will take some time and attention for you to answer the questions.  Therefore, in the interest of limiting further time spent,  we will only schedule a Real Conversation at a mutually agreeable time, if I perceive we are likely to be good match to work together.

The purpose of our call is to further unearth your current situation, detail your desired outcomes and discuss how I can help.  We will also determine the next steps for you to achieve what you want.   If you are scheduled for this call (value $1500 US), it will be delivered to you for no financial investment.  Your answers are completely confidential and for my eyes only.

    1. Your Name (required)

    2. Your Email (required)

    3. Who referred you? (so I may thank them)

    4. In what country are you located?

    5. What do you do for a living or how do you spend your time and energy? Is this what you love doing the most? If not or if so, why?

    6. In what area(s) of life do you want my assistance? (ie. professional challenge, personal challenge, relationship challenge, physical health challenge, emotional well-being challenge, financial challenge, need for clarity, desire to grow or create something, self esteem, self worth, self confidence, etc.)

    7. Describe the specific challenge(s) you are dealing with or facing. Please provide details so I can understand why this is important to you or why this is a problem for you. If there is a specific current or recent, triggering event or circumstance, that prompted you to contact me now, please tell me about it.

    8. If we could attain your ultimate result(s), what would that be? Please be specific.

    9. What have you done in the past to help this challenge? In what ways and how much time, energy and financial resources have you already invested to help your challenge(s)?

    10. On a scale of 1-10, in which 10 is ‘I want help now’, and 1 is ‘I’m okay’, what number is appropriate for how important it is to you to solve/heal/shift your issue(s)? Add anything you feel is relevant to your answer.

    11. If following your Real Conversation we were to discover you are a candidate for my VIP services, is there anything in the way of you taking action now? (ie. time, energy, financial resources, mental focus, commitment, etc.) If yes, what?

    12. Please provide your time zone and the best days and times you would be available for a Real Conversation, your Skype name and your telephone number (if you're in the US).