First Name
Last Name
Email
Phone Number
Industry
How did you find me?
How long have you been struggling with this?
What have you tried already that didn't work?
What was your annual income last year? Choose one.
$0 - $30,000$30,000 - $75,000$75,000 - $100,000$100,000 - $500,000$1,000,000+
How many hours do you work each week (on average)?
80+ hrs/wk: All Slay, No Play60-80 hrs/wk: Mostly Slay, Little Play40-60 hrs/wk: Still Trying to Find My Rhythm
Do you feel fulfilled in your job?
YesNoOn the Fence
What would you like to come away from our chat?
What area are you struggling with?
Daily Life StressTime ManagementDietSleepExercising Consistently
