SURVEY

Please answer all 10 survey questions. Tells us exactly where you are, what you are feeling, and ultimately what you want for your business. This is an assessment designed to get us on the same page and get a clear idea of what you want for your future.

What is your name or the name of your organization?

Your Email

Which of these 15 areas of influences, would you like to focus on? Art and Culture
Body, Mind and Spirit
Creativity
Education
Empowerment
Family & Relationships
Fun & Entertainment
Green living and Green Working
Health and Wellness
Humanity
Masterminding
Mentoring and Service
Socially Responsible Business
Technology and Innovation
Wealth and Abundance

For each of the areas of focus that you picked, what challenges would you like to resolve?





Reviewing the answers in question 3, what positive steps if any have you already taken in this direction?

Do you believe there is anything standing in your way? If so, what?

Do you believe that any of these factors are out of your control?

In a perfect world, what desired outcome would you like for this entire process?

How much energy are you willing to expand to reach this desired outcome? 0 (Minimum) 1 2 3 4 5 (Maximum)

How fast or slow would you like to achieve this outcome?

Do you have any new commitments that you feel will complement this venture?

Please share any other necessary information that wasn’t covered in this survey that would help us build your assessment.

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