Full Name

Email *

Phone

Date of birth

Address

Street Address

City

State

Country

Postal code

Website

Family information - please share the name of your spouse/ partner (if applicable) and kids' names and ages (if applicable)

T shirt size (Xs/Sm/Med/Large/ XL) - please note our swag runs small so we will probably give you a size up from what you normally are!

Please list all social handles you want me to review prior to our intensive

To get started, I'll ask you to share some information about how you grew up to give me better context for the life experiences that have shaped your mindset. Please share with me about how you grew up, who raised you, and what the common beliefs were in your family around money and success.

Who provided for your family financially growing up, and how did they do it? (i.e. were they an entrepreneur, worked at a job, etc)

Describe your relationship with your mother ?

Describe your relationship with your father.

Anything else you want to share about your relationship with your parents or your upbringing?

On a scale of 1 - 10, how would you rank your spiritual connection presently? Why? What would make it a 10 for you?

What's your current relationship to your masculine and feminine energy? What would you love to shift or change here?

What is your vision for the next 12 months? If there were no consequences or limitations, how would life be different for you 12 months from now?

What needs to change in your daily life, career and relationships for you to feel like you are showing up in your fullest expression and power?

Please describe your current relationships with both money and time in as much detail as possible. List out any challenges or limiting beliefs you're bumping up against in those areas.

On a scale from 1 - 10, how worthy do you feel of consistent, easy and joyful $50K+ months? Are there any limiting beliefs showing up about why those aren't possible for you at this point in your life and career?

What would you love to do more of in your business and life? What would you love to do less of?

What has your average monthly income been for the past 90 days? If you’re an entrepreneur, please share both average income and revenue numbers.

What are the top challenges you're currently running into in relation to achieving your goals?

What are the current revenue streams in your business/ sales career, and how much is an average client worth to you?

If you're an entrepreneur, what business model do you desire to create? (if it's different from what you are already doing).

If you’re an entrepreneur, what does your company currently look like? Who’s on your team, what roles do they do and what roles are you in charge of?

If you had the opportunity to be featured on the cover of any magazine, which one would you choose?

Are there any foundations or charities that you support or are passionate about?

What are the top 3 things you're looking to create in our time together?

Is there anything else you want me to know about you or your goals?