Skip to content
Super Performer
Home
About
The Program
Live Immersion
Book
Apply
Home
About
The Program
Live Immersion
Book
Apply
Apply Now
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone Number
*
Where are you based? (Label: City / Country) *
*
How would you describe what you do?
*
Hint: A sentence or two is fine. We want to understand your world, not your LinkedIn headline. Placeholder: e.g. I run a business, I'm rebuilding after a career change, I lead a team of 50...
What does your life look like right now?
*
Hint: Be honest. Not the edited version, the real one. What is actually going on? Placeholder: Take your time with this one...
What is one area of your life you're genuinely proud of right now, even if it feels small?
*
Hint: This matters. Kim wants to understand what's already working, not just what isn't. Placeholder: It doesn't have to be big...
What brought you here?
*
Hint: Something brought you to this page. A conversation, a feeling, a moment, a realisation. What was it? Placeholder: Take as much or as little space as you need...
What is the gap you most want to close?
*
Hint: Between where you are and where you know you're capable of being. Placeholder: Be specific if you can...
What has stopped you making this change before now?
*
Hint: Most people know the answer. They just haven't said it out loud yet. Placeholder: Be honest. There are no wrong answers here.
Have you worked with a coach or done personal development programmes before?
*
--- Select Choice ---
Yes - and it helped
Yes - but it didn't stick
No - this would be my first time
What would make the next 16 weeks a success for you?
*
Hint: Not what you think you should say. What would actually matter? Placeholder: In 16 weeks I would feel...
How committed are you to showing up fully for this?
*
--- Select Choice ---
Fully commited - I'm ready to priotise this
Mostly - there are some competing demands but I'll make it work
I'm not sure yet - I'd want to discuss this on our call
next City here?
Are you in a position to invest in yourself right now?
*
--- Select Choice ---
Yes - I'm ready and able to invest
I'm ready but I'd like to discuss the investment on our call
Timing isn't right financially - but I want to stay connected
Is there anything happening in your life right now that Kim should know before your conversation?
*
Hint: If something significant is going on, it's better to say so here than discover it on the call.
How did you find Kim or this programme?
*
--- Select Choice ---
Instagram
Referred by someone I know
Google search
Podcast or media appearance
LinkedIn
Facebook
I've known about Kim for a while
Others
Is there anything else you'd like Kim to know?
*
Hint: This is your space. Use it however feels right. Placeholder: Anything at all...
Submit My Application