1:1 with Nomi Correli

1. ➜

Name

2. ➜

Age

3. ➜

Location

4. ➜

Business name

5. ➜

Describe your business

6. ➜

Annual revenue

7. ➜

Your current 3 biggest Dreams

Add item

8. ➜

What du you think blocks you from actualizing your dreams?

9. ➜

How 'at home' do you feel in your body?

10. ➜

What’s your biggest passions?

11. ➜

How do you most like to learn?

Through movement and physical touch (Kinesthetic)

By reading/writing/speaking (Linguistic)

Using visual images/colors/photos (Visual)

Using audio/music/sounds/rhythm (Auditory)

Using systems/math/list (Mathematical/logical)

12. ➜

Preferred payment method, if we choose to work together: (Payment in full or Payment Plan)

13. ➜

Why do you want to work with Nomi? What are you hoping to get out of the interaction?

14. ➜

What's your budget for this interaction?

15. ➜

Have you had a mentor/coach/therapist before?

16. ➜

Who’s you biggest inspiration?

17. ➜

What’s the biggest accomplishment in your life?

18. ➜

What’s the biggest failure in your life?

19. ➜

If everything was allowed and anything possible, where would you like to see yourself in 1 year?

20. ➜

Do you have a website?

21. ➜

Please submit contact information: Email or Phone number

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