APPLICATION for Private Mentoring with Sam Rafoss

Seek Your Peak - One Step At A Time

One-to-One Private Mentoring with Sam Rafoss.

Please answer the questions below and Sam will contact you after she has reviewed your application. Thank you!

1.What is your first and last name?

2.At what email address would you like to be contacted?

3.What is your phone number, city, country and Time Zone?

4.What is the name of your business and your primary business role? (i.e. coach, consultant)

5.This is a spiritually guided success program aimed at personal, spiritual and business growth. Please choose your best match.

I am a faith-based professional and so is my business

I am a spiritual individual and my business is not spiritually based

Me and my business are not that spiritual and I am open to exploring possibilities

I am not spiritual however, I would like to find out more about this program

6.Which of the following best describes you?

My business is my full time income.

I have a separate "day job" and this is my side-gig

7.Please choose the best answer.

I would like to focus on sobriety first.

I would like to focus on my health (nutrition + lifestyle) first.

I would like to focus on my business (clarity, confidence, clients) first.

All of the above.

I'm not sure where to start.

8.You are willing to invest money, time and energy to achieve your results?

9.On a scale of 1 to 10 how committed are you to grow yourself and your business?
0 = Not at All 5 = Somewhat 10 = I am 100 percent committed

10.I acknowledge that after reviewing my application Sam will contact me within two business days at the email address I have provided.

Yes