The Elevate
Assessment Process

Welcome to Elevate with Keri as an official client! I am so grateful you’re here, and our worlds have come together – I don’t take your decision to work with me lightly… so thank you. I also want to get to know you on an even deeper level, so please complete the assessment below when you have some time to be fully present.

Name *

First

Last

What name do you prefer to go by? *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Describe how you are feeling about starting this process. Close your eyes, breathe for a few seconds, and write about what you notice? *

What’s really going on with you right now at this stage of your life? *

What do you do for work? Why do you do this? *

What is your annual income? *

When are you at your most creative (when time passes quickly)? *

What do you need to let go of? *

What do you fear the most? *

Is there anybody that you have not forgiven or have resentments with? List them and the events that happened and when. *

Complete this sentence: If you really knew me you would know that ______________. *

What is your belief about money? *

What are 3 things that you keep telling yourself you’re going to do, but keep putting off? *

What is your zone of genius? What are you best at? *

When was a time in your life when you felt most confident? *

What would you like to achieve by the end of our time together? *

What do you think is truly holding you back from everything you desire? What is your biggest road block? *

Do you have a support system in your life that can help you when you are triggered and challenged? *

How do you generally deal with difficult sensations and emotions? *

Why is now the time for you to take your life and business to the next level? *

What other programs have you invested in? *

If you were to look back 12 months from now and say “working with Keri was the best decision I ever made..” What needs to have happened? *

How do you feel now? *

Nice work, I’m proud of you! Click the button above to submit your form!

The Elevate
Assessment Process

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JOIN THE LEADER'S CIRCLE

The Elevate Assessment Process

The Elevate
Assessment Process