Hey Beautiful~ Welcome & thank you for being here! Let's get started.

I am so excited to schedule a call with you!

In order for this call to be customized personally for you, I'd love if you could answer a few questions for me.

These questions will provide me with clarity and direction for your call, so you can get the most value out of our time together.

After you fill this out, within 24 hours (usually sooner) you will receive an email with direct access to my calendar. Make sure to schedule promptly, as times are limited.

Thank you and I'll be talking with you soon!

Much Love,

Jaya Rose

Are you ready take your existing business to the next level? Why? *

What do you do or want to do? *

How much money do you currently make monthly? *

How much money do you want to make monthly? *

Do you believe you have what it takes to succeed? *

What are the main obstacles holding you back?

Are you ready to step even more into your worth and ask the universe, clients and everyone in your life to value you at this new level?

Do you believe in the law of attraction?

Why or why not? Give an example from your life.

Are you open minded?

Are you coachable? And do you take direction well?

Are you an action taker? If not, what is your main limitation?

When you are presented with a problem, how do you usually respond?

Do you believe you are capable of figuring things out? Apps, tech issues, social media platforms?

What is your main motivation in wanting to have a thriving business?

How many hours do you work in a week right now? How many hours do you want to work a week?

How much money are ready to invest in your business right now?

a. $997 - $3,000
b. $3,500 - $7,500
c. $8,000 - $15,000

What have you already invested in for your business? Programs, coaches, employees…

Are you excited for this opportunity to work together?

How did you hear about me?

Please fill in the contact info:
First + last name:
Phone number:

Woohoo! I will be in touch shortly. Thank you for taking the time to fill this application out.

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