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Course Application -Form Fill

Section One
Q1

Name*

First Name

Q2

Name*

Last Name

Q3

Email*

Q4

Phone Number*

Phone Number

Q5

Instagram Username*

Q6

Age*

Q7

What Do You Do Or Sell?*

Q8

How Much Revenue Do You Make Per Month In US Dollars?*

Q9

What Are You Struggling With The Most Right Now In Your Business?*

Q10

What Made You Feel Drawn Towards This Course?*

Q11

How Will Gaining Confidence, Self-Love/Acceptance & Community Help You Reach Your Business Goals?*

Q12

What Is The #1 Goal That Would You Like To Achieve At The End Of S.A.M In Your Life & Business If Accepted?*

Q13

What Is The #1 Block That's Preventing Your From Hitting That Outcome Right Now?*

Q14

Have You Worked With Other Coaches Or Mentors Before?*

Q15

Can You Make A Financial Decision WITHOUT Your Spouse's Input?*

Q16

The People That I Work With Aren't Afraid To Invest In Themselves And Look At The Possibilities Of Where They Are Going Instead Of Their Current Circumstances. Are You Willing To Invest Into Yourself Financially To Achieve These Goals?*

Q17

How Much Would You Be Willing To Invest If You Were Guaranteed To Get The Results You Are Looking For?*

Q18

What Time Zone Are You In? (Ex: EST, PST, MST..)*

Q19

Make Sure You Double-Checked Your Contact Info.*