Level Up Intake Questionnaire
Kindly set aside time to fill in this intake questionnaire. It will help you streamline your level-up goals, gain more awareness around them and what it would take to accomplish them, and also highlight what you would most like from the coaching & strategy session. The more seriousness, and effort you put into filling out this form, the better your session will be.

So set aside time, and work through it diligently, because this is your life we are talking about! And yeah, it is a big deal!
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Email *
Input your First and Last Names *
What does leveling up mean to you? *
Write down everything you can think of (big or small) that you would like to change, achieve or do in order to level up within the next 3-12 months. *
Let's simplify your list of things that you would like to achieve in order to level up. Take the time to group items that are similar or that can be combined into one larger goal. If you don't have many goals, and they are just 3 or less, you can skip this step by writing "ALREADY SIMPLIFIED" in the text box below. *
Look at your list and note down the ones you feel are your highest priority. Then write down your top 3 goals in this section according to priority. These will help clarify exactly which goals will have the most impact in your life when you work towards them in the next 3, 6 and 12 months. *
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