1 Complimentary Breakthrough Session If this was a referral please include their name here: We'd love to thank them! Otherwise, start with Your Name below. First Name Last Name Your Name * First Name Last Name Your Email * Your Phone * (###) ### #### Your Age * Business / Profession + How long?: * 1) In detail, describe your current circumstances in life & business: * 2) Do you have experience working with a coach? Please describe. If not, what's your current understanding of how coaching can support: * 3) What are you looking to accomplish in your life & business in the next 6-12 months? Consider inner and outer goals. * 4) Where are you in relation to your goals? * 5) What are the top 3 things you perceive as getting in your way from having the goal(s) you identified? * 6) Why is now the right time to make a change in your life and business? * 7) What do you see yourself accomplishing as a result of a Breakthrough Session? How do you want to feel after the session? * 8) On a scale from 1-10 how willing are you to embrace radical change and transformation in your life? (1 being not that willing, 10 being I'm committed to doing this regardless!) * For a potential bonus: Choose 3 favorite colors & describe your aesthetic: * Top 3 Values in life: * Terms & Conditions * I understand that this is a $0 cost session and each person is only permitted 1 Free Breakthrough Session. I agree I do not agree Thank you! We will reach out to you within 48 hours to schedule your complimentary session. Big Love,Michelle Question? Email info@project3h.com