(don't use) Connection Call Survey

Connection Call Survey

Please fill this out & book a call when you've finished

First Name

Last Name

Address (street, city, state, country, zip code)

Phone Number

Occupation

Please list & describe your current challenges or areas of resistance in your business? In your life/relationships? (think physical, mental, emotional, energetic)

How ready are you to overcome these challenges, change your lifestyle habits & facilitate change in your life?

What areas of your life & business do you desire the most support with?

How would you describe your emotional health?

How would you describe your self-talk/internal dialogue?

How would you rate your current physical health & health habits 0 (not healthy)-10 (Extremely healthy)? Please explain?

Tell me something you absolutely love about yourself

What are your current goals/intentions in life & business? What barriers are standing in your way of achieving them?

How much are you willing to invest in yourself MONTHLY to start living a life that brings you love, joy, freedom & abundance?

Have you ever worked with a coach or mentor to support you in your business growth & nervous system healing?

How did you hear about Mind Body With Leah?

Connection Call Survey

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