Анкета консультація

Application form

Your detailed responses will greatly help me understand how I can be of assistance to you and choose you among all those wishing to join my mentorship program.

First and Last Name

Phone number (WhatsApp) or Telegram username (@) for contacting you

E-mail

How old are you?

Do you enjoy the work you are currently doing?

Yes No

Can you financially support yourself?

Yes No

Are conflicts, resentments, and anger towards other people rare for you?

Yes No

Do you take care of your health through nutrition, exercise, and sleep?

Yes No

Are you satisfied with your personal life?

Yes No

Marital status

Married In a relationship Single Divorced

Do you have children?

Yes No

If yes, then what is their age?

What is your occupation?

What question/task/problem would you like to address?

What prevents you from achieving your desired outcome?

How would you rate the quality of your relationships on a scale of 0 to 10, where 0 is bad and 10 is excellent?

How would you rate your health on a scale of 0 to 10, where 0 is bad and 10 is excellent?

How would you rate your financial situation on a scale of 0 to 10, where 0 is bad and 10 is excellent?

What is the average monthly income level for you currently?

Why did you choose to reach out to me specifically, and what do you expect from our interaction?

Your detailed responses will greatly help me understand how I can be of assistance to you and choose

among all those wishing to join my mentorship program.

Home
Marathon
Intensive
Author's Neuro Practices
Mentoring
About the author
UK
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Home
Marathon
Intensive
Author's Neuro Practices
Mentoring
About the author
UK
EN

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