What are the biggest blocks that are keeping you from success?

Fear of Failure
Fear of Success
I am not good enough
I am not smart enough
Lack of Motivation
Not enough time
Not enough money
Fear of rejection
Other

How long have you suffered with your blocks or limiting beliefs?

1 year
1-5 years
5-10 years
10+ years

How much have you invested over your lifetime in your personal development? i.e. books, CDs, Seminars, Coaches Etc.

0-500
500-1000
1000-5000
10000+

On a scale from 1 to 10, how committed are you to your own success? Why? (1 being not very committed, 10 being very committed)

What are the challenges that you're facing right now that you want to overcome? Please be as detailed as possible.

What would change if you could work with a coach and finally remove the inner obstacles that have been holding you back from having the life you want?

We've created thousands of success stories with other students over the years, so we know the coaching process works. To continue to create testimonials, we need to make sure that our students are dedicated, open-minded, and teachable. What can you tell us about yourself that makes you a great student?