Breakthrough Session Application Form

1
Full Name* This field is required
First Name
Last Name
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2
E-mail* This field is required(Please use the same one to schedule your call - it helps us track your details. Thank you!)
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3
Phone Number* This field is required
Area Code
Phone Number
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4
Website (if you have one)* This field is requiredIf you don't, please put in the link to your FB account or fan page
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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
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6
How Long Have You Been Helping People?* This field is required
Less than 1 year
1-3 years
3-5 years
5+ years
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7
Do you offer a group coaching program?* This field is required
YESNO
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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.
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9
What is the price point for the group coaching program?
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10
How long is the group coaching program?
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11
What is your maximum capacity of how many clients you can take on at any given time?* This field is requiredMention your client capacity for One-on-One coaching and group coaching (if applicable)
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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
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13
What is your target monthly revenue?* This field is required
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14
What is your current biggest obstacle to reaching this target?* This field is required
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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
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16
When it comes to investing in your business, are you the sole decision maker?* This field is requiredIf no, who makes that decision with you?
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17
Did you watch my "Breakthrough 6-Figures in 6 Months" Masterclass?* This field is requiredIf 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
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18
How did you find me?* This field is requiredIs it from the masterclass, LinkedIn, Facebook, a friend?
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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
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