First Name
*
Last Name
Phone
*
Email
*
How many children are you homeschooling ?
*
Ages of your children
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Where are you in your homeschool journey ?
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Dropdown
Haven't started
Just started
<6 months
1–3 years
3+ years
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What is the single biggest challenge in your homeschool ?
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How long have you been dealing with it ?
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Just recently
A few months
About a year
Multiple years
If nothing changes in the next 12 months, what does that look like for you and your family?
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At the end of 90 days, what would have to be true for this to have been completely worth it for your family?
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What would it mean for your family — beyond the homeschool — if you solved this?
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How urgent is it that you solve this in the next 30 days? ( 1 through 10)
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1
2
3
4
5
6
7
8
9
10
Are you the primary decision-maker, or is it joint with your spouse
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Primary
Joint — aligned
Joint — need to discuss
Have you invested in coaching or programs before?
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Yes, and it worked
Yes, but didn't deliver
No but open
No and hesitant
This program requires a meaningful financial investment and 90 days of active participation. Are you in a position to make both of them?
*
Yes ready
Yes but have questions
Not completely sure
Is there anything else that Dr. Blake should know?
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