Personal Information

Address

Street Address

City

State

Country

Postal code

Professional Background

Your Current Role or Business Title:

Brief Professional Bio (100–150 words):

What is your current income level from your business or speaking/coaching activities?

Story and Impact

What is the core message or story you wish to share in the documentary?

How has your journey impacted others or contributed to your field?

Why do you believe your story is a fit for the Motivations Movie?

Media and Publications

Have you been featured in any media outlets, publications, or previous documentaries?

Yes

No

Do you have a published book or upcoming publication?

Yes

No

Availability and Commitment

Can you be available for filming over 6 weekends during the upcoming production schedule (dates to be announced)?

Yes

No

Maybe

Are you willing to promote the documentary through your channels upon release?

Yes

No

Do you understand that there is a significant investment required to make a Hollywood-quality documentary, and while we’ve kept costs to a minimum, participation requires a financial commitment?

Yes, I understand and I’m prepared to invest in this opportunity

I’m open to discussing financing

No, I’m not in a position to invest at this time

How coachable are you? We are aiming for Presentation Transformation—are you open to receiving feedback, doing the work, and having a breakthrough?

Absolutely – I’m ready to be coached to the next level

Somewhat – I’m open but have a few reservations

I’m open to discussing financingNot really – I prefer to do things my way

Why is it important for you to make this commitment at this time in your life?

What will the impact be for you—personally and professionally—if you are featured in this film right now?

Additional Information

Is there anything else you'd like us to know about you or your story?

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