Authentic Influence Form

Authentic Influence Form

Occupation

Occupation

On a scale of 1-5 how important is it to you to reach these goals?

On a scale of 1-5 how important is it to you to reach these goals?

[1 - Less Important <-> 5 - More Important]

Authentic Influence, my 12-week program, costs $2500 for 12 weeks. Would you be willing to invest that amount in your growth?

Authentic Influence, my 12-week program, costs $2500 for 12 weeks. Would you be willing to invest that amount in your growth?

Which of these statements do you resonate with the most?

Which of these statements do you resonate with the most?

Which way of learning do you prefer?

Which way of learning do you prefer?