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First Name

Last Name

Phone

Email

Core Questions:

1. How important is improving your public speaking skills to you right now?

Extremely important: I’m ready to invest in my growth

Important: I’m exploring options to improve

Somewhat important: I’d like to improve, but it’s not my top priority

Not important: I’m just curious for now

2. What is your primary motivation for improving your public speaking skills?

To grow my career or business

To become a paid speaker

To inspire and influence others

To build confidence in my communication

Other

If "Other", please specify.

3. Have you invested in public speaking or personal development training before?

Yes, I’ve attended workshops or coaching programs

Yes, I’ve purchased online courses or resources

No, but I’m ready to invest now

No, and I’m not sure if I’m ready to invest

4. What is your biggest challenge with public speaking? (Mark all that apply)

Managing clarity in my communication

Structuring and organizing my content

Engaging and captivating the audience

Delivering a message with impact and confidence

Handling impromptu speaking or Q&A sessions

Other

If "Other", please specify

5. What types of speaking opportunities are you currently pursuing?

Keynote speaking at events or conferences

Hosting workshops or seminars

Representing your business or brand

None yet, but I’m looking to start

6. What is your current level of public speaking experience?

Beginner: I have little to no experience

Intermediate: I’ve spoken in informal or small group settings

Advanced: I’ve spoken in front of larger audiences or professionally

7. What is your preferred learning format?

In-person workshops or training

Virtual coaching or training sessions

Self-paced online courses

A mix of formats

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