ENQUIRY FORM
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What do you want to accelerate now?
Business
Health
Family Togetherness
Relationships
Wellbeing
Legacy (Impact)
More than one of the above
Marital/Parenting Status:
I’m below 18
Looking for a partner
Not looking for a partner
Separated/Divorced
Married, no children
Married, has teenage child
I’m a Single Parent
I’m a Grandparent
Others
Occupation:
Entrepreneur (Less than $10 Million revenue)
Business owner ($10 Million - $50 Million revenue)
Business owner (Above $100 Million revenue)
Freelance professional (Training, Coaching, Baker, Chartered Accountant etc. )
Senior Management / CXO in Corporations
Middle Management in Corporations
Educationist
Home maker
Student
In the midst of Transition
Other
Annual Income
Lesser Than 12 Lakhs
12 Lakhs - 24 Lakhs
24 Lakhs - 80 Lakhs
1 Crore - 10 Crore
10 Crore - 50 Crore
50 Crore and above
What is the most important priority in your life right now?
Health
Business
Finance
Career
Legacy
Impact
Where did you hear about us?
Television
Celebrity Interview
Newspaper
Word of Mouth
Online article
Website
Social media
Direct
Other
Btw, what’s your age?
Below 20 years
20-30 years
30-40 years
40-50 years
50-60 years
Above 60 years
Write in detail: In the next 3 years, what would you absolutely love to achieve in your life? Consider your deepest desires and goals in the areas of Business/Career, Health, Family, and Legacy (Impact).
What is the single greatest limitation that is limiting the quality of your life right now? How will fixing this limitation change your life?
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