Do you believe one conversation can change your life or career?
Yes No Maybe Not sure Depends on the conversation
Have you experienced a life-changing conversation?
Yes No Not yet Prefer not to say Maybe
In what area of your life did the conversation impact you most?
Career Relationships Personal growth Health Other
How did the conversation make you feel?
Inspired Motivated Confused Empowered Surprised
Did the conversation lead to immediate changes?
Yes No In progress Not applicable I'm considering it
Would you be open to mentorship after a life-changing conversation?
Yes No Possibly Need more information Already have a mentor
All set, how can we reach you?
Name
Email
Phone
(Details here)
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