Easy Learning System Survey

Name*
First NameLast Name
Email*
example@example.com
Mobile
Please enter a valid phone number.
Country*
Based on what I taught you in my class, what is the main problem you are experiencing right now?*
Describe to me your situation with regards to where your child is at now in their schooling? Why did you request this session?*
If your above answer describes where you are right now, then how would you like your Child’s circumstances to be different? Where instead do you want them to be? What sort of result would you like them to be achieving?*
What is going on in your world right now that makes it a MUST for you and your child to achieve these goals?*
Thank you. Now, what is the big challenge right now you and your child are facing inreaching your goals? *
If someone said that you needed some level of coaching in order to reach your outcome,what would your response be?*
Dale will call you at the designated time at no cost to you, and she expects you to treat it as if you had paid. Please confirm that you are aware of the agreed TIME and will beavailable as promised, by typing in this wording please: "YES, I PROMISE I WILL BETHERE FOR THE SESSION."*
Lastly. between zero and 10, how committed are you to finding a solution to your challengesright now? (zero = not interested, 10 = it's an absolute must)*
Should be Empty:

Thank you!