Best Email (Please use the same as you gave for appointment booking)*

Please Select Call Preference, Audio Skype is the best option
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Phone number*

Skype ID (If you asked for a skype call)

Your Business Website or LinkedIn Address – Business Website Preferred

If you don’t have one, then answer the following question.

What industry do you work in?* What’s your role at work?*

What generation are you?*

Traditionalists = Born 1925‒1945Baby Boomers = Born 1946‒1964Generation X = Born 1965‒1980Generation Y (Millennials) = Born 1981‒2000Generation Z = Born after 2000

How did you find out about this book? If it was through one of our clients, please type their full name.

Briefly describe your current business.* How many employees?* Who do you serve?* What do you sell?* What’s you price point?*

After reading this book…….

What would you like to see more for yourself as a person, a leader, and for your people? What do you envision? What’s possible?*

Why is it important for you to get what you envision? What will it cost you if you don’t?*

What insights, solutions, methods did you discover that can help you get what you envision*

If we were having this discussion a year from today and you took action on becoming the kind of leader or person you need and want to be, what would let you know that you’ve become that leader, that person?*

How much have you or your company invested in training and/or coaching to address this issue or similar issues in the past?*

What would this be worth to you in terms of dollars spent if you accomplished what you envision?*

Our coaching team will call you at the time you chose. Please commit to your appointment by typing this sentence in the box below: “Yes, I promise I will answer the phone for my breakthrough session when my coach calls.”*

Finally, on a scale of 1 to Nelson Mandela, how committed are you to achieve what you envision?
123456789Nelson Mandela