Name

First Name

Last Name

Phone

Country

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Occupation

What is you current Leadership role?

What is your biggest struggle in creating thriving relationships?

On a scale from 1 - 10, how important is creating thriving relationships?

1 - not important 10 - the most important thing in life

What would life be like if you created 5 Thriving Relationships? How would it be better?

Have you previously invested in learning relationship skills?

Have you seen counselors? Taken courses? Read books? No judgement, but if I understand what you have tried, I can better offer help.

What is happening right now that is making you consider creating Thriving Relationships?

The more you share, the more I can try to help.