Mentorship Questionnaire

After your completion, the application will be considered and will help us clarify, if you're a suited candidate for my peak performance one-on-one mentorship. You will be contacted with further instructions, if selected.

Click the button below to start.


Question 1 of 21

Full name?

Question 2 of 21

Your gender?

(Select all that apply)




Question 3 of 21

Your age?

Question 4 of 21

Cellphone number with country code?

Question 5 of 21

Your best email address?

Question 6 of 21

Country of residence?

Question 7 of 21

What motivated you to seek mentoring from me?


Question 8 of 21

In what areas would you like mentorship in?

Question 9 of 21

What is your current annual income from all sources after taxes in usd?



Question 10 of 21

How do you currently make a living and generate income?

Question 11 of 21

What are your main frustrations and issues?

Question 12 of 21

What is your income goal for the next 6-12 months?



Question 13 of 21

What does your current income level, prevent you from getting in your life, that an upgraded level of income would help you achieve?


Question 14 of 21

If qualified for personal mentoring, how soon (What date) would you want to get started in solving your situation/issues?


Question 15 of 21

Right now I





have financial resources available to invest in my future/business.


don’t have any financial resources available, and will keep my life/business exactly where it’s at.

Question 16 of 21

Do you believe that you would become successful if you had the right mentor?


Question 17 of 21

What experience do you have in sales and business?

Question 18 of 21

What is your vision for your life/business?

Question 19 of 21

In all honesty, how awesome on a scale from 1 to 10, do you consider yourself?

Question 20 of 21

Why should I choose to mentor you?

Question 21 of 21

What are your expectations from being mentored by me?

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