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First name

Last name

Phone

Tell me a little about yourself. (This could include your profession, interests, or anything you think is relevant.)

Have you worked on a structured goal-setting process before? (Yes/No – If yes, briefly describe your experience.)

What specific goal do you want to focus on during the 30 days?

Why is this goal important to you right now?

How will achieving this goal impact your life or business?

On a scale of 1 to 10, how confident are you that you can achieve this goal with the right support? Why did you choose this number?

The group will meet weekly on Tuesdays at 12PM EST on Zoom for about an hour. Are you able to commit to attending all sessions? (Yes/No – If no, explain.)

Are you open to giving and receiving constructive feedback within the group? (Yes/No)

Do you agree to take action each week toward your goal, even if progress feels challenging? (Yes/No)

What obstacles or challenges do you anticipate facing during this process?

How do you typically handle setbacks or challenges when working on a goal?

Why do you want to be part of this beta group, and what are you hoping to gain from it?

Participation in this beta group requires a $25 fee to ensure commitment and accountability. Are you willing to make this investment in your goal and personal growth? (Yes/No – If no, please explain.)

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