Application Form | Valerie Website

Application for Creation Game

First name

Last name

Phone

Company Name

Address

Describe your business

What draws you here?

What elements do you feel are important to focus on, at the moment, in your business?

What is your next level vision for your business?

What are your 3 non-financial goal for your business this year?

Do you already have a mentor? Or had one in the past?

What do you utilize them for?

In the past year, what have been your biggest shifts / realizations?

What are your objectives inside this mentoring / coaching?

What is your current monthly revenue in your business(es), on average?

Are you ready to invest time, money and actions?

What is your Instagram handle?

Do you have any other social media you want to share?

How did you hear about me?

Will you be willing to share some personal information later on (as : date & place of birth ....) if you want to go into a deeper shift? *

Anything else you would like to share? *

Signature

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