Ready For Something More, Different, Better?

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Are you interested in having a conversation about your goals and how I am able to help you Manifest More Peace, Power, Prosperity - RESULTS? Let's put some urgency behind your desire. You know you deserve something more, something different, something better - let's make sure you transform your mind, use your power and get it.

Mercedes

Complete the brief questionnaire and let's schedule a time to have a conversation.

I know I can help you. Are you ready?

Email *

FIrst and Last Name *

What is the most resounding reason you desire to have a conversation with Mercedes and possibly start or expand a working relationship? *

What do you believe is your biggest hinderance in achieving what you desire or achieving at the level you know you are capable? *

Which of the following areas do you desire to focus on most? *

Personal

Professional

Both

Other:

Required

When is your best time to connect? *

Day 10:00 am to 4:00 pm (EST)

Evening - 5:30 pm to 8:30 pm (EST)

Weekend

If we are a good fit for each other, how soon are you ready to start transforming, manifesting, producing results? *

Now

January, February, March 2022

April, May, June 2022

Not Sure

I really would just like a conversation to gain clarity, insight or direction.

Other:

How did you hear about Mercedes L. Miller? *

Billboard

Facebook

Internet Search

Instagram

I am a current/former client.

I was referred by a current/former client.

I was an audience member where Mercedes was speaking.

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms