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PROGRAM WAITLIST FORM
Please fill out your preference below. Once we have reached 6 participants, you will be contacted.
First Name
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Last Name
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City
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Province / State
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Phone Number
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Email Address
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Please select your program of choice:
Clarity Unleashed starting September 28, 2021
60-Day Recharge starting January 2022
I'm interested in either one
I am interested in hearing more about how you can help me in my business! Here is what I may be interested in - please contact me:
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Other group programs you offer
Private coaching
1/2 day intensive
Full day intensive
I'm good with being just on this waitlist
Where did you hear about this program?
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Through talking with Brenda
Through Facebook
Through LinkedIn
Through Alignable
Through the RD Chamber
Through WOW!
Through a challenge that I did
Through the Leads Executive Assoc.
Through Rotary
Can't remember
Other:
Other:
Choose all the apply: I wish I...
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Could be more focused and less distracted
Could be more organized with my day
Didn't have to work such long hours
Didn't allow fear to limit me
Could switch off my inner critic more often
Had more time for fun
Was more confident with myself
Had better ways to deal with overwhelm, stress and procrastination
Was more creative with my ideas
Didn't allow fear to hold me back
Had people to brainstorm with, and stay accountable to
Had a better work-life balance
Could achieve more of the goals that would create more revenue and book more clients
If Brenda was your Fairy Godmother and could 'wave a magic want', what would be 3 things she could help you with?
Do you have any questions for me before you finish up?
Awesome!
As the program gets closer, Brenda will touch base with you to go to the next step. In the meantime, please mark your calendar!
Whoo-hoo!
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