Extraordinary Love for High-Achieving Men
Questionnaire

Please fill out this questionnaire with as much detail as possible prior to booking a call with me. This will support me to know where you’re at and if we’re a good fit.

Name

First Name

Last Name

What are you looking for in terms of a love relationship?

On a scale of 1 - 10, how high of a priority is this in your life right now? Why?

What has been your biggest challenge(s) in finding your woman and relationship you desire?

What have these challenges been costing you? (Be specific about how it's affecting your confidence, career, finances, etc.)

How urgent is it to you to solve these problems?

I'm so ready - I want to find my woman NOW!

It's something I want to address in the next 6 months

I'm not really feeling that much urgency around it

What solutions have you tried already?

How committed are you to solving these challenges and achieving your goals?

I’ll do whatever it takes - this is important

It would be great but I have a few other things that are my priority right now

I’m just exploring to see what my options are, not ready for change just yet

If we're a fit, do you have the resources to make an investment? (My programs range from $5k to $40k.)

What is your annual income? (confidential)

Phone

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Extraordinary Love for High-Achieving Men Questionnaire

Extraordinary Love for High-Achieving Men
Questionnaire