Light A Fire Inner Circle Client Intake
Welcome to The Igniters Way application. We’re on a mission to help our clients achieve work-life harmony and make a positive impact. The Igniters Way is a community of like-minded individuals who are on fire, passionate, and want to create a lasting legacy.

Our inner circle offers business owners, moms, and women coaching, consulting. clarity, strategy, accountability, and thought partnership. Need a second opinion? Need to brainstorm an idea? We'll check in on what's working - and more importantly - where you're stuck.
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Email *
Name *
Email Address (Booking notifications will be sent to this email) *
Phone number (This is where we'll send you all the information you'll need to join if you are approved so triple check to ensure the info is correct!) *
What roles do you play? (Check all that apply)
Briefly tell us about yourself and your career (if applicable)
What is your current annual revenue in your online business/employment?
What days and times are you not available for ongoing calls/Zoom meetings? *
What is your preferred method of follow up? (Check all that apply)
What is the ONE THING that you hope to get out of being an inner circle member? *
Have you worked with other life coaches, or enrolled into other productivity courses? If so, how much have you invested? Also what has been your experience with the others?* *
What are some of your dreams and goals that you would love to be able to accomplish as we work together? *
What are your roadblocks? We call them mental blocks, limiting beliefs, mindset shifts...it's all the same... what's stopping you from doing the thing you want to do? *
What have you already tried to overcome that roadblock?
What do you bring to the table that you can share and will be valuable for the group? (Skills, abilities, talents, personality traits, education, experience)
Is there something that you know you need to start doing differently? (What is preventing you from reaching your goals? What are your vices, distractions, poor habits or time wasters?) *
What are the indicators of reaching your desired milestone? How will you feel? What will be different? *
How much are you willing to invest in yourself this year? *
Are you willing to commit in your professional development at this level? *
On a scale of 1 to 10, 1 being the lowest & 10 being the highest. How serious are you about reaching your productive lifestyle goals? *
Lowest
Highest
When you hear about the benefits and you actually love what this program offers, when are you willing to pay and get started?
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Did anyone refer you? If so, please include their name.
Are you the main decision maker on whether this program is the right fit for you? *
Comments - Is there anything else you'd like to share?
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