Discover Your Money Story Session

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1. What's your name?* This field is required.

First Name

Last Name

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2. What's the BEST email address to reach you?* This field is required.

example@example.com

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3. What's your phone number?* This field is required.

Area Code

Phone Number

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4. How did you hear about this Money Therapy/Living Wealthy Program?* This field is required.

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5. What is your current profession or business?* This field is required.

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6. How long have you been in practice/business* This field is required.

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7. Do you have a website? (if so, please share your link)

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8. What is the biggest challenge you feel you have right now as it relates to money, value, worthiness?* This field is required.

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9. What is your current monthly revenue (from a business)?

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10. What would you like your monthly business revenue to be?* This field is required.

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11. What is your current monthly personal income?

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12. What would you like your monthly personal income to be?* This field is required.

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13. What's the NUMBER ONE reason you believe you haven't yet reached your ideal monthly revenue or income?* This field is required.

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14. Do you have a retirement fund, savings, real estate or other types of investments?

Yes

No

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15. On a scale of 1-10 (1 being "not at all" and 10 being "there's a brick wall") do you feel like you have an upper limit (glass ceiling) on your revenue earnings and/or wealth accumulation CURRENTLY?* This field is required.

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16. If money and time were no object, how would you want to contribute your gifts in the world?* This field is required.

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17. What uncomfortable or unfavorable emotions do you experience on a semi-regular or regular basis (as it relates to money or wealth)? (check all that apply)* This field is required.

Anxiousness

Worry

Fear

Guilt

Shame

Anger

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18. Are you able to financially invest in yourself?* This field is required.

Yes

No

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17. What have you tried in the past as it relates to any of your money, wealth, value, worthiness challenges?* This field is required.

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18. What resonated or drew you in to connect with me?* This field is required.

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19. Anything else you want to share?* This field is required.

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