About You Questionnaire

Getting Acquainted

I am super excited that you are interested in seeing new possibilities for your business. In order for me to prepare properly for our 30 minute complimentary “Get Acquainted Call”, please fill out the following ‘About You’ form and click submit at the bottom of the page.

There are a limited number of spaces in my Law of Attraction coaching program schedule so be as thorough as you can. We need to make sure that we are a good fit for each other and a vibrational match!

Please know there are no wrong answers! I personally review the answers before I call, giving me a snapshot of you. All information is kept strictly confidential. Put in enough information that I can get a picture of where you are at, and what you are struggling with.

Once I have your information I will schedule a phone call with you.

Expect success,

Dana's Signature

Certified Law of Attraction Trainer & Business Coach
Empowering Women Entrepreneurs

Your information:

About Your business:




B. WHAT SABOTAGES YOU?

Instructions: Place an’ X’ for areas that apply to you.

C. WHAT WOULD YOU LIKE TO WORK ON?

Below is a list of the most often requested areas that many women entrepreneurs need help with. Which ones STAND OUT for you, and which WOULD YOU LIKE TO WORK ON at this time?

D. HOW WOULD YOU RATE YOUR KNOWLEDGE AND ABILITY IN THESE AREAS?

Rate yourself from 1- 10, with 10 being the HIGHEST.

E. HOW READY ARE YOU TO MAKE CHANGES?

(Please note that if you are a chronic complainer or someone who does not honor their commitments I may not be the right coach for you – it is important that I am honest with you as you are with me!)

F. HOW DID YOU HEAR ABOUT EMPOWERED WOMEN IN BUSINESS COACHING?

As an entrepreneur you will know that you need to know how people are finding or hearing about you. That way it helps you focus your marketing efforts in the right places. You can help me do the same by answering this question for me & THANKS!



Thank you for taking the time and really putting the effort into filling out this ‘About You’ application form. This will make a BIG difference in my being able to understand where you are in your business and what possibilities lay ahead for you.

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