First Name
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Last Name
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Email
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Phone No
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Job Title
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Organization
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• Why does this feel like the right time for you?
Share a little about what feels stuck, missing, or ready for change.
• Which of these statements feel true for you? (Select one or more)
• How would you describe your current level of outdoor experience and physical fitness?
• What would you hope to walk away with at the end of this program?
Think clarity, breakthroughs, energy, community – whatever matters most to you.
• Which outcomes matter most to you? (Select up to 3)
• Which type of setting most excites you?
• This program takes place in a small group setting. Would you like to attend:
• When would you ideally like to take part in this program?
• What days/times generally work best for a 30-minute intro call?
(For example: Weekday mornings, afternoons, or specific days/times that suit you.)
• How did you hear about the Executive Reset program?
