* First Name

* Last Name

Organization

* Email Address

* Daytime Phone

* Seminar Details

* City and Time Zone

* If a eulogy were written about you today, what would it say?

* What would you like to have written about you?

* How would your spouse/partner or closest confidant describe you?

* What would they say your best qualities are?

* What does the phrase, Think Big. Play Big. Live Big., mean to you?

* Which of Beverly's programs have you done?

* What would you say have been you 3 biggest achievements/results using the Law of Attraction in your business?

* On the flip side, what have been your 3 biggest challenges?

* In one sentence describe your business, who you serve, and the value you offer.

* If you have employees or outsource, what 3 words would they use to describe working with you?

* When you work from day to day, on any given day – what 3 words would you use to describe your activities. (Examples would include: scheduled, organized, fun… stressful, chaotic, and confusing.)

* When you wake up in the morning and think about your day ahead in your business, what feelings come to mind for you?

* If you could wave a magic wand and change three things in your business or life over the next 6 months, what would they be?

* What have been your three biggest accomplishments in the last five years? Please describe why they are your biggest accomplishments.

* When it comes to making decisions, which describes you best: I move on an idea immediately (within days), I process, plan, and then take action (within weeks), I analyze and wait for more decisiveness (within months).

* Who are or have been your major role models?

* What’s your long term vision for your company—and you?

* Who or what do you think is your biggest obstacle in reaching your current goals?

* Who or what do you think is responsible for your current results?

* What motivates you?

* Anything, else you would like to share with me?

* What was your gross income and revenue from this business for the last 3 years?

* What are your income and revenue goals this year?