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First Name*

Last Name*

Best Email (Please use the same as you gave for appointment booking)*

Mobile Number*

Your Business Website*

Date of Birth*

What I believe about myself is*

What I value most*

What I want to feel is*

What I want to achieve is*

What I fear the most*

What I frustrates me the most*

The most money I make is*

The industry I work in is*

The things I have already tried are*

What holds me back is*

The solutions I think will help me is*

What is working for you at the moment on a professional and personal level?*

What is not working for you on a professional and personal level?*

What is your current professional Status? Entrepreneur, New or Existing? Looking to start a business? Corporate role?*

What are your fears*

What is your business product/service*

Become your own steady source of inner peace, joy and contentment. Get clear on what you want and create an action plan to achieve it. Strengthen your confidence to step out of your comfort zone. Reclaim ownership of your life.
Say "YES" to living your life on purpose with passion*

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