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The Inner Action Cohort

Name

*

Email

*

Phone Number

What best describes you?

*

What best describes you?

A

Founder & Entrepreneur

B

C Suite

C

Manager / Team Leader

D

Athlete / Coach

E

Other

Please specify (Other)

Company / Organization

*

Profession / Role

*

Salary bracket We ask this to better understand affordability and tailor accordingly.

*

Salary bracket We ask this to better understand affordability and tailor accordingly.

A

Under $30,000

B

$30,000 - $60,000

C

$60,000 - $100,000

D

Over $100,000

What challenges are you currently facing?

*

What challenges are you currently facing?

Starting a New Venture

Overthinking / Lack of Clarity

Burnout / Fatigue

Procrastination

Inconsistent Habits

Low Emotional Control

Feeling Stuck / Off-track

Other

Please specify (Other)

What outcome would make this worth it for you?

*

Are you ready to take action over the next 8 weeks?

*

Are you ready to take action over the next 8 weeks?

A

Yes

B

Not yet

Anything else you'd like us to know?

*