First Name
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Last Name
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Email
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Mobile Number
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Are you a high-performing leader who’s feeling some level of misalignment, burnout, or drift in your life right now?
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Yes
No
What’s your biggest challenge right now when it comes to designing the next chapter of your life?
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Why is solving this now important to you?
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Are you in a place in life where you have the financial stability, energy, and capacity to prioritize making this change?
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Yes
No
Somewhat, but I’m ready to make space for it
What would transformation look like for you in the next 12 months?
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Can you commit to showing up on time, distraction-free and ready to take action?
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Yes
No
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