Breakthrough Session Questionnaire
First and Last Name
1. What are you currently doing to earn a living? (What do you do, do you have a business or are you working for some one else, who are your clients and what are the outcomes you help them create?)
2. How is your Relationship life (are you single, happily married or struggling in your relationship)
3. What is your current monthly income)?
($5 - $300K)
4. If you want help with your business what is your next monthly revenue goal (be realistic, but stretch a little)?
5. What is the NUMBER ONE challenge you want help with?
6. What have you tried in the past that didn’t work?
9. How willing are you to currently invest in yourself and commit time, effort and finances to your personal growth?
10. Why are you an ideal client for Carolin?
11. What would you like to come away with from your Makeover session?
12. Anything else you want Carolin to know?
Do Not Fill This Out