THE DREAM ACCELERATION™ PROGRAM 
WELCOME PACKET

First name *

Last name *

Mailing address *

City *

State *

Zip *

Phone *

Email *

When is your birthday? (Month/day): *

1. For the Program: What are you most excited about creating/achieving/experiencing and becoming?*

a. 

b. 

c. 

2. After the Program: What will succeeding at this mean for your life? *

a.

b. 

c. 

3. On a scale of 1 – 10 how much do you REALLY WANT the above? *

4. What do you believe is holding you back or slowing your progress? *

5. What are the reason(s) you chose this program to support you? *

6. What days and times generally work best to schedule your private sessions? *

Please be on the lookout in your email inbox! To really make the most of our kick-off call, I’ll be sending more thoughtful questions for you to answer. The program really begins the moment you answer these questions!