NLP Pre-Discovery Form

Name: *

Email: *

Phone number: *

+1

Date of Birth: *

Occupation: *

What is your primary reason for seeking NLP and mindset mentoring? *

What challenges are you currently facing that are preventing you from achieving your goals? *

Are you currently taking any medications or supplements? If so, please list them. *

Have you ever worked with an NLP practitioner or mindset coach before? If so, please describe your experience. *

What else would you like to share about yourself that may be relevant to our work together? *

How did you hear about our NLP and mindset mentoring program? *