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Neurofit Clarity diagnosis

What is the main objective driving you to seek support now?

First Name

Last name

E mail

Phone

On a 1-to-10-scale, what is your current level of "Self-Mastery"? (discipline, confidence, consistency)

How much importance do you place on the synergy between your physical well-being and your mindset to reach your goals?

How much importance do you place on the synergy between your physical well-being and your mindset to reach your goals?
A
B
C

If we combine your physical strength, energy, and mindset, what is the biggest obstacle preventing you from reaching your next level of personal success?

If we combine your physical strength, energy, and mindset, what is the biggest obstacle preventing you from reaching your next level of personal success?

How would you describe the current structure of your daily routines and personal discipline?

How would you describe the current structure of your daily routines and personal discipline?

How would you assess your level of physical energy and overall health to support your personal and professional ambitions?

How would you assess your level of physical energy and overall health to support your personal and professional ambitions?
A
B
C
D

What logistical support and service format best fits your daily life and your objective?

What logistical support and service format best fits your daily life and your objective?

On a scale of 1 to 10, how willing are you to prioritize your transformation and take action today?

Up until now, what has been preventing you (or stopped you in the past) from reaching your goal?

For your transformation project, what annual investment range are you willing to consider to guarantee the achievement of your High Performance objectives?

For your transformation project, what annual investment range are you willing to consider to guarantee the achievement of your High Performance objectives?
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B
C

How soon would you like to begin your transformation? 

How soon would you like to begin your transformation? 
A
B
C

Are there any other important details you would like to share with me regarding your current situation, your expectations, or your vision of the coaching/support?