SOAR QUESTIONNAIRE

Seek Opportunity Achieves Results Questionnaire is designed to ensure that your goals and expectations are closely aligned with the support you are requesting. Please be as detailed as you can where possible. NOTE: All sessions are conducted virtually via LIVE Webcam unless otherwise specified by service provider

First Name*

Last Name*

Category*

Best describes the category in which you are seeking help

Email*

Phone Number*

Please enter using format: 111-111-1111

Preferred Contact*

Used for reminders and quick updates

Confirm Session Day*

Confirm Session Time*

Confirm Selected Time (EST)

Session Type*

Session Frequency*

Which Interests You?*

How Did You Learn About Me?*

Q1. HAVE YOU RECEIVED PROFESSIONAL MENTORING, COACHING OR CONSULTING BEFORE? IF SO, WHICH ONE(S)*

Q2. PROVIDE YOUR TOP THREE REASONS FOR SEEKING HELP?*

Q3. WHAT ARE YOUR SHORT-TERM (3-6 MONTHS) AND/OR LONG TERM (6-12 MONTHS) GOALS?*

Q4. WHAT STEPS HAVE YOU ALREADY TAKEN TOWARDS YOUR GOAL(S)?*

Q5. WHAT THREE CHALLENGES ARE KEEPING YOU FROM ACHIEVING YOUR GOAL(S)?*

Q6. HOW HAVE YOU HANDLED FAILURE OR SETBACKS?*

Q7. WHAT SKILLS, DISCIPLINE AND/OR KNOWLEDGE DO YOU WANT TO GAIN FROM THIS EXPERIENCE?*

Q8. PROVIDE FOUR THINGS THAT MOTIVATE YOU IN BOTH BUSINESS AND IN LIFE?*

Q9. HOW DO YOU DEFINE SUCCESS?*

Q10. WHAT DO YOU WANT ME TO KNOW ABOUT YOU IN GENERAL?*

Agree

I hereby give my consent for Cebien Alty of CBeyond Enterprises to use the provided info for the sole purpose of customizing my mentoring, coaching or consultation session(s). I acknowledge that this information is treated confidential and will not be shared or sold to any outside entities without my written consent. I confirm that I understand that I must seek legal and financial guidance from a licensed professional, and do not/will not hold Cebien Alty accountable for providing such guidance. I confirm that I am aware that I may terminate, discontinue or postpone sessions with written notification at least 24-48 hours to cebien.alty@cbeyondenterprises.com but am subject to remitting any remaining balance and/or forfeiting any refunds by the determination of the service provider. Cebien Alty holds the right to terminate, discontinue or postpone sessions as deemed necessary with written notification to the recipient.

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