The Impact Initium Application Form
The Impact Iniutm is not for everyone - I want to be sure this is the right programme to get you the best results possible.

Please complete the following questions in as much detail as possible. This helps me gauge what level of support you need and in what areas. I'll then be in touch to discuss if this programme is a good match for you, and/or the best support options for you at this time.
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Email *
Your Full Name: *
Your Email Address: *
Your website link (if you have one - put n/a if you don't): *
Your social media links (if applicable): *
What business do you have (or want to have)? *
How long have you been working on your business? *
What inspires you to want to grow your business? *
What growth stage are you currently at in your business? (e.g. newly qualified but not launched/ just started with 0-5 paying clients/established offline but wanting to move online etc - please give as much detail as possible) *
How do you currently deliver your services? e.g. selling one-off 1-on-1 sessions or classes, group classes etc *
If you could wave a magic wand and 1 year from now have everything you want in your business, what would that look/feel/sound like? *
What's the one main thing currently stopping you or slowing you down from achieving your business goals? *
What have you already tried when it comes to launching and growing your wellness business? i.e what approach have you taken to setting up your business, and marketing and selling your services? *
Have you taken any other courses/programmes with regard to launching your business? What were they and did you complete them? What worked/didn't work for you, and why? *
From previous experience, are there any specific things/support systems you know you personally need in order to successfully reach goals you set for yourself? *
What area of your business do you struggle with most? *
How do you currently FEEL about your business? (i.e. what's the predominant emotion in your day-to-day business activities).  *
What would you like it to be? *
On a scale of 0-10, how committed are you to growing your wellness business over the next 12 months? (10 being bone-deep commitment to this business that is your calling) *
It sounds like a nice thing to have
There's no other option - I know in my bones this is what I'm here to do!
Why is NOW the time for you to launch or evolve your wellness business? *
Is there anything else you'd like me to know about you and your business?
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