DISCOVERY | Push Through Pull Up

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DISCOVERY CONSULTATION

Aloha and welcome! After filling out this short form you will be directed to book an appointment with Kolani. We are excited to meet you!

First Name

Email

Last Name

Code

Phone

Do you feel like you've lived this same day many times before?

Are you living the life of your dreams?

What would you do if fear was not a factor and you could not fail?

What were you doing when you felt most passionate and alive?

Who is your hero?

If you could live anywhere, where would it be?

What is your biggest fear?

What is your favorite family vacation destination/activity?

What would you change about yourself if you could?

What really makes you angry?

What do you want to accomplish over the next 6 weeks of this course with me?

How serious are you committed to the work required to do so?

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Why are you here? Why me?

What is your favorite flower or plant?

Any known allergies?

Are you able to receive parcel packages at address provided? Favorite musical genres?

Least desired or down right dispised genre?

Are you willing to invest in coaching / strategic planning if it's a good fit?

Yes

No

How did you hear about this opportunity?

Instagram

Attending a live event

Attending a webinar

Facebook

Referral from a friend

Other

Thanks for submitting!

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