Email *
Phone *
Date of Birth (Spell out the month please - only use numbers for day and year) *
Time of Birth. If you don't know, write "don't know". *
Place of Birth: City, State, Country *
What country do you live in? *
Tell me about your profession, what you do.. *
What is your business? Or the business you want to start? *
If you have a website, please provide URL. And social links.
What do you want to accomplish or transform in your business, career or mission in the next 12 months? *
What you like to focus on in your session? Products, classes, dates for launches, purpose, etc. *
Do you have dates already in mind for launches or doing important things in your business? If so what are they? *
What is the #1 thing you would like to get out of this session? *
What is your #1 challenge? *
On a scale of 1-10 How willing are you to overcome what is holding you back? (10 being the highest) *
On a scale of 1-10 How well are you currently meeting your financial needs on a scale of 1-10? (10 being the highest) *
On a scale of 1-10 How committed are you to investing in yourself? (10 being the highest) *
Are you currently working with a mentor or coach? *
Feel free to share anything else about yourself and your business you would like me to know.
How did you hear about Prema and her work? (ex. I heard her on a specific interview - I found her through an internet search - I’ve been on her mailing list, etc…) *
