CLIENT APPLICATION - Dangerous Woman

To apply to work with Amanda, please complete the form below (which will be forwarded to Amanda’s assistant, Anita). If you are successful in your application, you will hear from us with next steps.

Your Name (required)

Your Email (required)

Your Website URL (required)

1. Briefly describe your career/role, and the industry you’re in.*

2. Which is true for you?

You have a successful business, but you feel unsatisfied and as if your spirit is drowning in the day-to-day operationsYou’ve achieved corporate success, yet you feel stifled in your creative expression and are yearning for moreYou are about to undertake a demanding leadership role and need to prepareYou’re a successful creative/independent operator and your image needs amplifying or reinventingYou’re struggling to get your business/career/image off the groundOther

If you answered other, please explain.

3. What is your greatest professional/personal goal?*

4. What has stopped you from attaining that goal so far?*

5. What have you tried to resolve this?*

6. Describe how you feel about your identity and image.*

7. How would you love your identity and image to be?

8. Your single biggest challenge/block with your identity and image is.

9. If you could resolve this, what would change for you?

10. What would it be worth to solve this issue for you?

$0-$2,500$2,500-$10,000$10,000-$25,000$25,000-$50,000$50,000+

11. How committed (emotionally, financially etc) are you to working to change your current situation, on a scale of 1-10?

12. Why do you think working with Amanda is the solution?

13. Why are you the ideal client for Amanda?

14. What’s the number 1 thing you would like to take away from your session?

15. Anything else you want Amanda to know?