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Application to Become a Member of The Queens Way

membership is reserved for women who:

NO.1 - Are serious about tripling their productivity, skyrocketing their energy, achieving five-figure months in their business, and saying what they want in all their relationships.

NO.2 - Want to stop buying into their excuses and quit the B.S. stories that are preventing them from getting to the next level in their lives + businesses.

NO.3 - Value taking massive ACTION and are ready to find solutions to quantum leap to their goals.

Applying now in no way is a commitment to purchase, it just gets you to the front of the line for our next launch in June. We only accept 33 applicants into the program in order to keep the program very high touch for your higher performance.

Name

First Name

Last Name

Email Address

Website

http://

Facebook Profile URL

http://

Date of Birth

YYYY

Relationship Status

Like, what do you have on Facebook?

Timezone

This helps us schedule our coaching calls for the best possible time for the group.

Which category do you need the MOST support?

Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?

Please rate yourself on a scal of 1 (lowest) to 10 (highest).

Do you consistently have enough mental, physical, and emotional energy needed to excel, accomplish your goals, and feel motivated and happy?

Please rate yourself on a scale of 1 (lowest) to 10 (highest).

Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?

Please rate yourself on a scale of 1 (lowest) to 10 (highest).

Do you take action and consistently express who you authentically are and what you truly think, need, and desire in ALL your relationships?

Please rate yourself on a scale of 1 (lowest) to 10 (highest).

Do you feel you have the social influence with your family, friends, team, clients, and prospective customers needed to accomplish your goals?

Please rate yourself on a scale of 1 (lowest) to 10 (highest).

What do you do for a living and why did you choose that career?

What are your top 3 goals for the next 6 months?

What are your top 3 struggles or challenges RIGHT NOW?

What's your biggest fear?

When you feel like your most successful and happy self, what makes you feel that way?

What will it cost you if you don't change now?

What would your dream life look like if you could wave a magic wand and make it happen?

What has prevented you from having that dream life?

What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident, and successful?

What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more effectively?

When do you struggle to be fully present in your day or in any of your relationships?

How purposeful do you feel in living each day, and how would you describe your purpose?

Why do you feel you are a great candidate for The Queens Way High Performance Coaching Club?

Please complete the following sentence: "In my life I am...

Part of this tool is based on proprietary concepts from High Performance Institute's Certified High Performance Coaching Program.

Do not duplicate or distribute without permission. We respect your privacy.

Application to Become a Member of The Queens Way

membership is reserved for women who:

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