Strategy Session Application Form
Find out if my programs are a good fit for you! 

Complete this brief questionnaire and tell me a bit more about yourself, your life, your business, your obstacles and your goals. 

I want to learn more about you to make sure you will benefit from my proven programs and systems.

After you complete this brief survey, I will be in touch with next steps to schedule a FREE strategy session where we can dive deeper and get you started on your new path to success.

- Kasey D'Amato
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What is your name? *
What is your email? *
What is your cell phone number? *
What is your city and state? *
How did you hear about me? *
What is your business? *
What is your annual gross revenue? (if you are pre-revenue just write pre-revenue stage) *
What do you feel is working well in your business right now? 
What do you feel is your #1 biggest challenge in your business right now? 
Have you ever worked with a professional coach or advisor in the past (life, business, health, fitness, etc)?
 *
If you answered yes above, was it a positive experience for you?
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Most people find fulfillment when they have a perfect balance of the 3 biggest areas in life:

- Career/Money
- Relationships/Community
- Health/Mind/Body

On a 1-10 scale, how do you rate yourself on each and why?
 *
What is your #1 biggest challenge in life right now?
 *
What is your description of "the perfect life?"
 *
Why do you want to work with a professional life and business coach?  *
What outcomes do you want to achieve?
 *
Are you ready to commit to yourself (time investment and financial investment and massive actions) to elevate your life to the next level?
 *
Submit
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