Let’s get ready to dive deep on the truth of where you’re at right now, what’s holding you back and where you want to go.

This application process is the perfect time to reflect and expand the vision for your business and life. This process will also give better insight if a program with Heather is in alignment with your current needs and goals.

FIRST NAME *

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LAST NAME *

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Email *

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CITY

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STATE

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COUNTRY *

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Phone *

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Website *

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Instagram URL *

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Facebook URL *

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How did you hear about Heather? *

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I'm most interested in: *

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Which of these phases best describes you? *

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Briefly describe your current business. Who do you serve, what do you sell, what is the price point (Please share links to any products, services, courses and free opt-ins you offer). *

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What is your current monthly business revenue? Please list all revenue streams. *

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What is your monthly business revenue goal in the next 12 months? *

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What do you feel is your biggest obstacle in your business right now? What has held you back from reaching your goals? *

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Describe your dream scenario after you've completed work with me. What do you hope to achieve in our time together? How would that make you feel in your business? How would it impact your life? *

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Have you ever been a part of a group or coaching program before? If so, what was the experience like for you? *

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Which is most true about you right now? *

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Anything else I should know? Feel free to share any thoughts or questions here. *

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Application Submission + Agreement: I’ve completed an application and would like to be considered to work with Heather Anderson. I understand that this application is confidential and I am only showing interest in the program at this time. I’m aware that Heather will determine which program is the right fit based on my needs and interests. *

I agree *

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The results you will get from any programs with Heather will be directly related to your commitment, skill and ability to implement what you learn. While we cannot guarantee results, we can guarantee we will be 100% committed to your dreams and vision for your life and business while we co-create and collaborate together. *

I understand *

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