Strategy Session

Your Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

List all the names and links of your social media. (Youtube, Podcast, Facebook, etc)

What are you doing for work right now?*

What 3 things do you like most about your work?*

If you could change anything about your job what 3 things would you alter first?*

What ULTIMATELY do you want to do for work?

If the Next 5 year repeat your last 5 years in income and lifestyle will you be satisfied with the result? YES/NO*

What would need to change?*

Please Describe In GREAT Detail How Samuel Can Help You?*

On a scale 1-10 how ready are you to make MASSIVE TRANSFORMATION in your life right now?*

Why are you that particular number?*

On a scale 1-10 how serious are you about your finacial goals right now?*

On a scale 1-10 how coachable are you?*

What Concepts Are You Wanting To Learn More About? **CLICK ALL THAT APPLY

What are your biggest roadblocks or barriers that are keeping you stuck right now OR IN THE FUTURE?*

Please Describe Why Specifically You Want To Work With Samuel? What Legacy are you trying to build?*

If Samuel Invited You To Work With Him WHY Do You Feel You Would Be A Good Fit?

What is your Monthly Income Range?*

What is your monthly goal income in the next 12 months?*

When was the last time you checked your credit score?*

1+ Years6+ Months3-6 MonthsLess Than 3 Months

What is your credit score?*

ExcellentGoodBellow AverageNeed Improvement

Enter the message as it's shown*

Strategy Session Application