Connect & Explore Survey

CONNECT & EXPLORE SESSION
with Estelle Gibson-CPA, Money & Mindset coach
(30 Minutes)

WHAT WOULD BE POSSIBLE IN YOUR LIFE, RELATIONSHIP OR BUSINESS IF YOUR MONEY ISSUES WERE HANDLED?

I help individuals, couples and entrepreneurs manage their money, improve their communication and BREAK FREE from the limiting beliefs and blocks that have stopped them from taking consistent action in the past.

During your Connect and Explore Session we will:

Discuss the objectives you have for your money and/or business
Explore the possibility of working together to achieve your desired result

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

I am interested in Financial Coaching for (click all that apply):*

	Personal
	Business
	Couples

Have you ever worked with a coach before? *

	Yes
	No

If yes, what was your experience?*

When it comes to managing the money in your personal life and/or business, what is the single biggest challenge, frustration or question you've been struggling with?*

On a scale of 1-10 (10 being highest), how important is it to you to get this challenge solved? Why?*

What types of programs/products/services have you previously invested in to help you with your money situation (i.e. memberships, 1:1 coaching, workshops, online programs, books, etc.)*

What stage of the wealth cycle are you in? Creating-just starting, Building-expanding and growing, Sharing - leaving a legacy *

	Creating
	Building
	Sharing

On a scale of 1-10 (10 being YES! I'm ready to take the actions and invest in myself and/or my business TODAY), how committed are you to taking the actions to manage your money and to break free from fear, self-sabatoge and limiting beliefs about money?*

If Coach Estelle can support you, she will invite you to work with her further. The investment for 1-1 personalized coaching is $1000-$3000 (payment plans available). I have the resources or access to resources to invest at the following level:*

How did you hear about Coach Estelle?

Additional comments or questions for Coach Estelle

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CONNECT & EXPLORE SESSIONwith Estelle Gibson-CPA, Money & Mindset coach(30 Minutes)

CONNECT & EXPLORE SESSION
with Estelle Gibson-CPA, Money & Mindset coach
(30 Minutes)