Welcome from Sigal:
 
I am very happy to “see” you on this page.
 
There must be a part of you that is eager to know if we would be a good fit for one another.
 
The greatest success that I am having with my clients is when there is synergy between us. The questionnaire that you are about to fill out below will allow me to understand what you are looking for and where you are at this point in your business and/or life.
 
I am working with a small number of one-on-one clients and only with those whose lives I truly believe I can impact.  My goal is to create a transformation in my clients’ lives in a timely manner so that they can enjoy and create great success in their business and life every single day.
 
I can assure you that the information you’ll be sharing on this page will be seen only by me. The questionnaire will come directly into my personal email box.
Confidentiality starts right here!
 
Please be aware that by filling out this questionnaire we are not obligated to work together, it’s just so I can get to know you a little bit prior to talking over the phone. That way we will be able to use our time over the phone effectively.
 
It will probably take you about 10 minutes to fill this out.
Please make sure you are filling out all the boxes. If you are not sure what to answer to some of the questions, then please simply write that. Once you are done, please hit the “submit my questionnaire”.

(I recommend you copy the text you are entering in the box below to a Word document. Once you are certain your answers were submitted you can delete the Word document. That way if you lose your Internet connection, or you hit submit and the page gets stuck, you will neither lose the text nor the time invested to type your answers.

 
Please allow 2-4 business days for me to review your questionnaire, contact you, and let you know how we can proceed from here.

*First & Last Name

Address

*City

*State

Zip Code

*Country

*Email Address

*Phone Number (xxx-xxx-xxxx)

Birthday (Day/Month)

Referred By

1. Are you currently or have you been working with a
coach/ hypnotherapist/ psychotherapist/ psychologist?

If yes, please describe briefly your experience:
(How pleased are/were you? Does/Did it meet your expectations?)
(If not, simply move to the next question)

2. On a scale of 1-10, how motivated are you to work with someone who would lead you to accelerate your success?
(1- not at all, 10 extremely motivated)

3. What is your expectation from your free consultation?

4. What are you looking for in a coach?

5. What kind of self-development training, seminars and/or workshops have you taken?
(You may include in this answer also books and audio books that you were influenced by)

6. Have you ever meditated, listened to guided visualizations, done any kind of work with your subconscious mind?
If yes, please share, if not please write that you have not.

7. What is your perspective on the notion that people that want to become successful should work with a coach?

8. What business/industry are you in?

9. If it turns out that you and Sigal are a “good fit” for one another, are you in
a position to invest a minimum of $300 to start your process?

10. Is there anything else you’d like Sigal to know about you?