Diagnostic Call Form

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1. What is your income goal for the next 6–12 months?

2. What is currently capping your growth, or what needs to shift for you to 2–5X your income?

3. What is your current monthly revenue?

4. Have you tried to reach your next level before?Yes, and I keep hitting the same ceilingNo, this is my next level

5. How committed are you to achieving this goal?I’m all inI’m serious but need supportI’m not committed

6. If we identify a clear path forward, are you willing and able to invest in support?YesNo

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