Thanks for your interest. What is your name? *

What is your preferred email to contact you? *

What is the best number to contact you on? *

Are you the main decision maker for services? *

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Please explain your goals here and the service you wish to know more about. *

What are your challenges that are preventing you from fulfilling or completing your goals? *

Imagine this: What your life, business, and home life would be like once you've overcome these challenges and fulfilled your goals? *

On a scale of 1 to 10, 1 being no pain, 10 being the greatest pain, how would you rate the level of pain this problem is causing you in your life right now? *

On a scale of 1 to 10, 1 being not at all, to 10 being most definitely, how committed are you in achieving your life, career, and revenue goals by investing in yourself through one of our Limitless Success Solutions or recommendations? *

Which one best describes you: *

• The type that works independently. I just need the tools and resources, and then off I go to apply them.
• The type that needs some initial hand-holding until I feel comfortable going about it on my own.
• The type that wants everything done for me. I don't want to do it on my own and that's my prerogative.
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Pick the answer that best describes you: Right now, I... *

Have the financial resources to invest in myself and I am ready to accomplish my goals. I am worth it!

Have access to financial resources and will do what it takes to invest in myself to accomplish my goals. Don't count me out now!

I do not have the financial resources at this time. I will keep myself exactly where I am. I am not worth it just yet.

What is your preferred method of contact? *

• Email
• Phone
• Text
• Video (Zoom)
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How did you hear about us? *

• Personal Website
• Email
• Facebook
• Live Webinar
• Podcast
• Client Referral
• Industry Referral
• Other
• Unknown
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What is your ideal start date for services?

Our Limitless Success Solutions Services start at a minimum of $5,000. What's your budget? *

How much will you invest in yourself to do, be, have and bring in more?

• $0 - $1000
• $1000 - $3000
• $3000 - $5000
• $5000 - $7000
• $7000 - $10,000
• $10,000 - $15,000
• $15,000 - or more
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Is there anything else you would like to share with us to best serve you? *

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