Breakthrough Session Application Form

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.(Please use the same one to schedule your call - it helps us track your details. Thank you!)
3
Phone Number* This field is required.
Area Code
Phone Number
4
Website (if you have one)* This field is required.If you don't, please put in the link to your FB account or fan page
5
Tell me about about your gift or expertise. What problem(s) can/do you solve for the people who come to you?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
6
How Long Have You Been Helping People?* This field is required.
Less than 1 year
1-3 years
3-5 years
5+ years
7
Do you offer a group coaching program?* This field is required.
YESNO
8
What is the group coaching program about and who is it for?Briefly tell me a little about the program and who is it for. Add a Web-page link if you have one.
Huge
Large
Normal
Small
Ok
Ok
9
What is the price point for the group coaching program?
10
How long is the group coaching program?
11
What is your maximum capacity of how many clients you can take on at any given time?* This field is required.Mention your client capacity for One-on-One coaching and group coaching (if applicable)
Huge
Large
Normal
Small
Ok
Ok
12
What is your current monthly revenue - on average?* This field is required.
$0 per month (just starting out or idea stage)
Less than $2,000 per month
$2,000 - 5,000 per month
$5,001 - $10,000 per month
$10,001+ per month
Other
13
What is your target monthly revenue?* This field is required.
14
What is your current biggest obstacle to reaching this target?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
15
Right now I…..* This field is required.
Have the financial resources to invest in my business
I can gain access to financial resources to invest in my business
I don't have any financial resources at all but I'm willing to find a solution if its a good fit
Other
16
When it comes to investing in your business, are you the sole decision maker?* This field is required.If no, who makes that decision with you?
17
Did you watch my "Breakthrough 6-Figures in 6 Months" Masterclass?* This field is required.If no, Please make sure to watch it before our call: https://breakthroughlegend.com/masterclass
Yes
No, but I promise to watch before my call: https://breakthroughlegend.com/masterclass
Other
18
How did you find me?* This field is required.Is it from the masterclass, LinkedIn, Facebook, a friend?
19
TYPE THIS STATEMENT BELOW TO CONFIRM: "I promise I will be on the call because I want.............." (why you booked the call today)* This field is required.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: