Please provide us with a little information about yourself so that we can be prepared when we meet on our call (this form is used for preparation of the breakthrough session).
First and Last Name*
1. What are the top three areas in your life you would like to see improvement in?*
HealthEmotional and SpiritualFinancialRelationshipsTime ManagementCareer
2. If you had to choose one area that you would like to see change in, what would that be and why?*
3. What have you tried in the past that didn’t work?*
4. What will you gain from achieving this goal? How would your new life be different? What is the upside or the reward for following through on this goal?*
5. What are you currently doing to earn a living? (What do you do, do you have a business or are working for someone else? Who are your clients and what are the outcomes you help them create?)
6. What is your current monthly income ($5-$300K)?*
7. When I consider my options, the first thing I think about is (without judgment):*
How I feel deep downHow other people will feelWhat the likely result will beWhat makes the most sense
8. I am most willing to IGNORE:*
My feelings, in order to get the job doneWhat people think, in order to speak the truthWhat’s practical, in order to be myselfSpecific details, in order to spare people’s feelings
9. How willing are you to currently invest in yourself and commit time, effort and finances to your personal growth?*
10. Do you have a sense on how you would like to be supported to achieve your goals?
11. What would you like to come away with from your Breakthrough session?
12. Anything else you want innerU to know?
Love, peace, and happiness,Anne-Marie and Kathy
Copyright 2017 by innerU