"Premier Executive Coaching System for GREATER RESULTS" There is GREATNESS within you... Live with Purpose... Success By Choice Question Title * 1. We are excited to help you maximize your true potential through our Premier Executive Coaching System.Marlon Smith and our Success By Choice team are dedicated to making a positive difference in the world. We appreciate you completing this form because your answers will help us customize a coaching program for you to achieve your specific outcomes.Our high-end VIP Premier Executive Coaching System produces RESULTS.We are 100% committed to sharing our time, energy, and insights with individuals who are committed.Thank you for believing in yourself... Your time is NOW to create GREATER RESULTS. After you complete this questionnaire, click the "SUBMIT" button and we will share additional information with you. Name Your Business Name (if applicable) City State Country Phone # Email Address Website (if applicable) Question Title * 2. Why are you so EXCITED about achieving greater results in your life? Share as much information as you like. Question Title * 3. What are the Top-3 things that keep you up late at night? Share as much detailed information as possible because this will allow us to design solutions to address your primary concerns / needs. Issue #1: Issue #2: Issue #3: Question Title * 4. What are your top-3 outcomes to achieve within the next 12 months? Be specific because our team is committed to helping you achieve greater results. #1 Outcome: #2 Outcome: #3 Outcome: Question Title * 5. What are your greatest strengths? Commitment Vision Positive Attitude Spiritually Inspired Transparency Passion Value Constructive Feedback Time Management Other (please specify) Question Title * 6. What is your motivation in life? Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree To make a positive difference in the world. To make a positive difference in the world. Strongly Disagree To make a positive difference in the world. Disagree To make a positive difference in the world. Neither Disagree Nor Agree To make a positive difference in the world. Agree To make a positive difference in the world. Strongly Agree To earn a lot of money and be financially free. To earn a lot of money and be financially free. Strongly Disagree To earn a lot of money and be financially free. Disagree To earn a lot of money and be financially free. Neither Disagree Nor Agree To earn a lot of money and be financially free. Agree To earn a lot of money and be financially free. Strongly Agree To use my gifts and talents to the best of my ability. To use my gifts and talents to the best of my ability. Strongly Disagree To use my gifts and talents to the best of my ability. Disagree To use my gifts and talents to the best of my ability. Neither Disagree Nor Agree To use my gifts and talents to the best of my ability. Agree To use my gifts and talents to the best of my ability. Strongly Agree Question Title * 7. Evaluate the following statements. Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree I am very successful right now. I am very successful right now. Strongly Disagree I am very successful right now. Disagree I am very successful right now. Neither Disagree Nor Agree I am very successful right now. Agree I am very successful right now. Strongly Agree I know exactly what I need to do to improve my life. I know exactly what I need to do to improve my life. Strongly Disagree I know exactly what I need to do to improve my life. Disagree I know exactly what I need to do to improve my life. Neither Disagree Nor Agree I know exactly what I need to do to improve my life. Agree I know exactly what I need to do to improve my life. Strongly Agree I have a written plan to implement so I achieve greater results. I have a written plan to implement so I achieve greater results. Strongly Disagree I have a written plan to implement so I achieve greater results. Disagree I have a written plan to implement so I achieve greater results. Neither Disagree Nor Agree I have a written plan to implement so I achieve greater results. Agree I have a written plan to implement so I achieve greater results. Strongly Agree Question Title * 8. What are the best ways that you learn? (check all that apply) Personal Conversation Videos Books Experiences Role-Playing Other (please specify) Question Title * 9. How will you feel AFTER you achieve your top-3 outcomes this year? Why is this an ABSOLUTE MUST for you? Question Title * 10. What are you willing to invest in making this YOUR BEST YEAR ever? $500 - $999 $1,000 - $1,999 $2,000 - $4,999 $5,000 - $9,999 $10,000 - $19,999 $20,000+ Submit