Fill Out Request Form
Please answer questions below to the best of your abilities to insure more accurate assessment
What is your first name?
What is your last name?
What is the best email to reach you at?
What is a good phone number to reach you at?
What state or country do you live in?
What is your age today?
What is your profession?
To what degree does your profession require the use of your voice?
How would you describe your struggle with inhibited voice symptoms?
When does this struggle come up?
What feelings come up when you experience symptoms of an inhibited voice?
How long have you experienced symptoms of an inhibited voice?
What would your life be like if you still had these struggles 3 years from now?
What is happening in your life right now that makes you want to overcome this struggle?
What are solutions that you have tried in the past to overcome these symptoms?
How did the solutions that you have tried in the past work out for you?
How did you hear about our services?
Instead of that struggle, what is a desired outcome that you wish to achieve?
How would you feel when you have these desired results?
Which aspects of your life would improve the most when you reach these desired results?
What would your life be like when you achieve those desired results 3 years from now?
On a scale of 1 to 10, 10 being the highest, what is your commitment level to achieve your desired results?
Self-improvement requires a financial investment in yourself - Which of these options describe your current situation best? A) I have the means to make financial investment in myself. B) I live month to month and have no credit or maxed-out credit.:
What are specific questions you have for me?
To ensure you receive my email and avoid it going to spam or junk folders, I aks you to email "Hi" to HossamAbostate@gmail.com
Submit
Powered by