Strategy Session Application
Please fill out this form as best as possible
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
I want to discuss Part time / Full Time career options
I need help understanding the rules of money
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 goal income in the next 12 months?
When was the last time you checked your credit score?
Less Than 3 Months
It's always good to know your credit score. If you haven't checked in the last 6 months then check it below using CreditKarma.com It's FREE and there is NO inquiry that will be put on your credit. CreditKarma.com
What is your credit score?
Thanks! Lets Begin Fueling
Enter the message as it's shown
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm