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Please Fill Out the Questionnaire Below

I work with only a handful of deeply committed and powerful individuals at a time. These are people who have already experienced success in their lives and now they want to create something that's truly extraordinary. These individuals are creative, curious, and resourceful.

I don’t charge “per session”. My coaching relationships are long term — at least six months and usually a year or more.

If you’re at the point where you’re serious about creating something truly extraordinary in your life or business, then please fill out the questionnaire below.

All answers are completely confidential and will only be seen by me.

I look forward to hearing from you and I welcome your questions. -- David

Name*
First Last
Email*
Phone Number*
Country*
I am:*
- Male
- Female
What is your age?*
What kind of work do you do?*
Average yearly income?*
Background: Tell me about yourself*
What would you most like to improve in the next six months?*
Ever work with a therapist or coach before? If so, for what?*
Are you truly ready and willing to do whatever it takes to have it all in life?*
- Yes, I am ready
- I'm somewhat ready.
- No, I want to stay exactly where I am today.
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