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Group Mentoring Form & Strategy Meeting Request

This is the application for receiving a strategy meeting with a book industry expert and consideration into Robert Nahas' group mentoring program.


Your First and Last Name:

Email:

Country:

State / Province:

Country:

Best Phone Number to Reach You:

(PLEASE DOUBLE-CHECK FOR ACCURACY)

If applicable, Skype name:


What is your current situation regarding achieving your goals as either an author or entrepreneur?


What is the greatest thing (problem, situation or difficulty) that you haven't been able to overcome, seems to be persisting, or is taking too much time, energy, effort to achieve?


If you could be anything, what would you be?


If you could do anything, what would you do?


If you could have anything, what would you have?


What is your ultimate goal with your business/career?


What is your ultimate goal in life?


If this mentoring program were to enable you to become a published author, position yourself as an expert and make a lot more money than you're currently making, what dollar amount would it be worth to you to invest in this program?



a) Are you satisfied with your level of success in your career/business?
Yes
No
b) Explain:


How much income did you earn on average over the past 3 months?



How do you feel about your future?
Worried
Anxious
Indifferent
Excited
Ecstatic
Other (please explain):