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! OK Question Title * 1. What is your first and last name? OK Question Title * 2. At what email address would you like to be contacted? OK Question Title * 3. What is your phone number, city, country and Time Zone? OK Question Title * 4. What is the name of your business and your primary business role? (i.e. coach, consultant) OK Question Title * 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 OK Question Title * 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 OK Question Title * 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. OK Question Title * 8. You are willing to invest money, time and energy to achieve your results? OK Question Title * 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 OK Question Title * 10. I acknowledge that after reviewing my application Sam will contact me within two business days at the email address I have provided. Yes No OK DONE