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Pre-Qualification Form for Breakthrough Woman Program

Submit this form to book a 60 minutes Qualification Interview with Valerie Grace
and discover how you can get started in the Breakthrough Woman Program.
INTERVIEW INTENTION
1) Help us get to know you and what you want to achieve
2) Get clarity on what's your missing link to breakthrough
3) Learn which is the best option for you to get started if you are a good fit for the program
WHAT HAPPENS AFTER FORM SUBMISSION?
1) Within 24 hours, you will receive an email with suggested times for the video interview
2) You will then get a private Google Meet link for your call

Please confirm you have read the Program page before applying

https://speedofgrace.com/program
Please confirm you have read the Program page before applying
A

Name

Email

Your social media profile (Facebook/Instagram/LinkedIn profile link for identity verification)

Your current occupation

If you were to embark on your Breakthrough Journey with Valerie's 1-to-1 guidance and support for the next 6 months, what are the results you want to achieve? 

What services, courses, books or programs have you tried to solve your problems? List them and describe why they didn't work for you.

Imagine your current situation never improved and worsened with time.
What would your default future look like?
What would the cost be to stay stuck?
Describe as much as you can.*

Everyone wants breakthrough and transformation. But not everyone gets to experience it because they are afraid of taking action.

Why do you think it is very important for you to take action now?
Why does it mean so much for you to breakthrough now?
Please elaborate.

On a scale of 1-10, how much do you feel you are worth investing in your breakthrough and life transformation?

On a scale of 1-10, how much do you feel you are worth investing in your breakthrough and life transformation?
Totally Unworthytotally worthy

When you've made this appointment, Val will honour it and make her time exclusive for you.
Once booked, nobody else can take your slot.

Please commit to the appointment by typing this sentence in the box below:
"Yes, I promise I will honour the scheduled time for my call with Valerie."

Is there anything else you’d need Valerie to know before your interview call with her? Share as you wish. 


Just for fun - What is your secret dream in life?