I Am Excited to Get to Know You More!
Let me know a little about you before our Breakthrough Sessions. This will help me greatly as we get to know each other better, understand the issues you are facing, and help you start moving forward to solve these issues.
Why I am reaching out to you today!
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The Biggest Problem I face today is?
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Why this is important for me to solve!
{"type":"textarea","name":"__generic3","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":"I am stuck....."}
The results would I like from our Breakthrough Sessions!
{"type":"textarea","name":"__generic4","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":"This year my big goal is to...."}
What I have tried in the past to solve this problem!
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How Ready am I to solve this issue?
Not really sureI am pretty sure I want to fix thisI want to solve this / but I am not sure howI am ready to start working on thisI am fully committed to fixing this issue in my life!{"type":"select","name":"__generic5","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Not really sure\nI am pretty sure I want to fix this\nI want to solve this / but I am not sure how\nI am ready to start working on this\nI am fully committed to fixing this issue in my life!"}
I can commit these many Hours Per Month to move forward:
One HourTwo HoursThree HoursFour HoursFive Hours{"type":"select","name":"__generic9","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"One Hour\nTwo Hours\nThree Hours\nFour Hours\nFive Hours"}
I can committ this amount of Money This Year to Resolve this Issue
$1000$3000$5000$7500$10,000$15,000{"type":"select","name":"__generic10","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"$1000\n$3000\n$5000\n$7500\n$10,000\n$15,000"}
Any Additional Comments:
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