Thank you for scheduling your breakthrough session with Amy. Please fill out this application so she can prepare for your call.
Click the button below to start.
Question 1 of 14
What is your first and last name?
Question 2 of 14
What is your best email address?
Question 3 of 14
What is your phone number?
Question 4 of 14
What is your total MONTHLY revenue from all business sources?
Less than $1000
$1000 - $2000
$2001 - $5000
$5000 - $10,000
More than $10,000
Question 5 of 14
How much of that revenue is recurring or residual?
Question 6 of 14
What is your target monthly revenue?
Question 7 of 14
What percentage of your target monthly revenue would you like to be recurring or residual?
Question 8 of 14
What do you believe is the biggest obstacle to reaching your revenue target?
Question 9 of 14
Briefly describe your business (if you have one - your occupation if you don't). What are your product offerings? Who do you serve? What is your price point?
Question 10 of 14
Right now I . . .
have the time and resources to grow my residual income.
can access the time and resource to grow my residual income.
don't have the time or resources and am going to continue trading my time for money.
Question 11 of 14
Do you consider yourself a leader OR are you willing to grow into leading a team of people?
Question 12 of 14
Are you interested in/passionate about health and wellness?
Yes
No
Question 13 of 14
Please briefly describe your online presence. IE: Website, blog, podcast, number of email subscribers and social media followers.
Question 14 of 14
Please type the following in the box below if you agree with the statement: "I agree to answer my phone when Amy calls at my appointed time and to show up in a resourceful state and ready for breakthrough."