River Easter, MA

Breakthrough Session Questionnaire

I am excited to be supporting you in uncovering hidden challenges that may be undermining your success, gaining clarity on your goals and vision, and identifying powerful next steps you can take now! To receive the most value from your session with me, please answer these questions.

Email address *

Name *

Best Number for You *

How did you find me? *

Referral

Google Search

Meetup

Speaking event

FB or Instagram AD

What category best describes your business and role? *

Coaching/consulting

Health and Wellness Industry

Executive/Manager

CEO/Business Owner

Sales/Retail

Financial Industry

What inspired you to have this conversation with me? *

What area of your life is your biggest struggle? *

Career/business

Relationships

Health

Finances

What are your top 3 goals you want to achieve over the next 12 months in order of priority? *

What is stopping you from achieving your number one goal? *

What is your biggest challenge or struggle? *

What do you think you need to overcome your challenge or struggle? *

What is the biggest fear you face in solving your problem? *

What's stopping you from being a 10 in solving your problem (Referring to above question)?

Are you willing to invest in solving this problem? *

Who are the key people in your life and what do they provide you? *

What self-improvement work have you done (i.e. books, courses, coaching, masterminds, etc.)? *

Do you have a coach now? *

Yes

Up until now, what has kept you, (your business) from experiencing optimal results? What do you think is the underlying, REAL reason? *

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Low commitment											Very committed