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* 1. Please enter your name and contact details

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* 2. What is the nature of your work/career and how would you describe your current work status (ie. Enterpreneur, solopreneur, just setting up a business, employed, in transition from motherhood/career break etc)?

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* 3. How would you currently describe the next level of your vision and contribution that you would most love to fulfil?

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* 4. Roughly what stage are you at in bringing your dream into reality? (Baring in mind that your vision is emergent and that you may be facing challenges wherever you are in the process)

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* 5. What are the most significant issues or challenges are you currently facing in relation to your vision/calling?

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* 6. In 6-12 months time, what would you imagine becoming possible for you/your life as a result of being part of this Mentoring Circle?

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* 7. What kind of support/experience are you most interested in receiving from this Circle? Please rank according to your priority interests.

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* 8. What do you feel most excites you and challenges you about being part of this Circle?

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* 9. On a scale of 1-10, how committed are you to creating the transformation you want and stepping into the next expression of your leadership calling? (If less than 8, please share why you think that is.)

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* 10. Thank you very much for taking the time to share this confidential information. Please add anything else you'd like to share including any questions you'd like to ask before we talk.

I will be in touch with you by email very soon to arrange a good time to talk.

Warmest wishes, Joey.

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