Your Coaching Application Form

Philosopher, Eric Hoffer once said:

“In times of change, learners inherit the earth while the learned find themselves beautifully equipped to deal with a world that no longer exists“.

After more than ten years of positively transforming hundreds of people’s lives and applying our systems to the objectives of multi-million dollar companies, we’ve discovered that the most important element to creating transformational success is choosing the RIGHT people (and companies) as Clients.

Business is about teamwork and we like to work with people who are ready to learn, ready to open their minds to new ways of thinking (about their business), and ready to have fun.

Let’s see if you’re ready to become one of our success stories – it takes around 15 minutes to fill in the form below. The exercise should give you some helpful insight into your own path toward success.

Where are you now?
  1. Check all the following that apply:
    Be honest, remember, we're not concerned with what you've done in the past, but rather want to get a true snapshot of where you are so that we can identify the resources which may best meet your needs.
  8. What is your primary reason for taking a vacation?




  10. Rate the following on a scale of 1-5
    according to how much of a challenge they are for you:
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  19. Answer the following with Yes or No
  20. If I continue with my business the way it is, I’ll be financially independent in 3-5 years


  22. Does your spouse work with you?


  24. Do your children or other family members work with you?


  26. Do you hire your best friends?


  28. If my class reunion were next month, I’d feel excited about going.


  30. Answer using – Often, Sometimes, Rarely or Never.
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Where do you want to be?
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  5. Check the amount of PERSONAL net income you paid yourself in the past 12 months?





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Is there synergy?
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  3. Do you belong to industry or business organizations?


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  6. Are you interested in:


Your Contact Details:
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  5. (valid email required)
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  8. To convince us that you are not a machine, would you please solve the following equation or puzzle:
 

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