About the Questionnaire

Please complete this form to get your peaceful, profitable and purposeful

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What are you most passionate about?

What changes would you like to experience in your life?

What are your biggest struggles with achieving prosperity

How would you rate your seriousness in regards to initiating change in your life (on a scale of 1-10)?

What results/benefits do you expect to receive by working with Dr. JaNee’?

What are three major things that you’d like to accomplish in 6 months?

What is the first thing that you’d like to work on with a coach?

What is the largest obstacle that keeps you from getting started or accomplishing your goals?

How would you rate your level of confidence (scale: 1-10 1-worst; 10 being very high)?

Which Dr. Janee package are you most interested in?