Readiness Form
Executive Vitality Circle
3-month Group Coaching Experience for Entrepreneurs and Senior Leaders
How would you describe your current role or business focus?*
- Entrepreneur / Business Owner
- Executive / Senior Leader
- Consultant / Professional
- Other
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- List is empty.
How many hours a week do you typically work?*
- Under 40
- 40–55
- 55–70
- 70+
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- List is empty.
How would you rate your current work-life balance?*
- Excellent
- Manageable
- Strained
- Unsustainable
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- List is empty.
Have you ever done any type of wellness or holistic testing before (e.g., HTA, ZYTO, bloodwork, functional medicine)?*
- Yes
- No
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- List is empty.
Are you ready to dedicate 3 months to improving your personal and professional wellbeing?
- Yes, I’m ready to commit
- I’m exploring options
- I’d like to learn more first
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- List is empty.
How do you prefer to handle your investment?
- Pay in full
- Pay in 6-month installments
- Not sure yet
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- List is empty.