Questionnaire Form ← BackThank you for your response. ✨ Name (First & Last)(required) Warning Email(required) Warning City, State or Country(required) Warning Timezone(required) Warning Mobile Phone(required) Warning Ok to leave a message on this phone?(required) Warning Payment is made through Stripe, PayPal, Venmo, CashApp, or ApplePay. Please provide your preferred payment account address/name. PayPal: @maximavega Venmo: @Maxima-Vega CashApp: @mystmaxima Warning Zoom Address (if applicable) Warning Birthdate Warning Age(required) Warning Occupation(required) Warning What are 3 things you would like to change in the next 3-6 months? Warning How will your life be when you have made these changes? How will you feel? What would it be like? What would be different? Warning What has kept you from already making these changes? Warning What will you miss out on if, in a year from now, nothing has changed? How will you feel? Where would you be? Warning How do you think coaching will help you along your journey? Warning Are you open to write a review after coaching?(required) Warning Warning. SubmitSubmitting form Δ Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Like Loading...
MAXIMA VEGA 