100 Lunches 6 week Challenge | Transform your life

100 Lunches

Coaching Program

Pre - program Questionnaire

Congratulations on making this life-changing decision to upgrade your life!
In order to serve you better, please take 10-15 minutes to complete this form before the program starts.

Your name

Email

Phone

Country

Occupation & Industry

Age range

Country of Origin

Gender

Female

Male

Other

Please input all your social media page links

For work, what are you doing now and what do you want to be doing?

Have you started your lunch with strangers journey? Why or why not?

Where did you hear about this program? What made you decide to join?

What do you need help on? What is the most important goal you want to achieve from this course?

What's prevented you from achieving this goal in the past?

If only you had more confidence, how would your life be different?

How much has lack of confidence cost you in life?

How will you know when you are receiving value from the coaching sessions?

As you know, I'm committed to serve you and make YOU happy, please tell me, what would you want to learn from this program.
1means not interested, 5 means 'TELL ME MORE NOW

Building confidence can improve all areas in your life. Id like to see your wheel of life before and after the program.

Is there anything you want to tell Kaley?

Submitted !!! Thank you so much for taking time to complete this survey. It is very important for me to understand your needs so I can serve you better. I look forward to helping you to build more confidence, grow your network and achieve anything you want! :)

Lots of love, Kaley

Need Help? Email Kaley directly on

100 Lunches

100 Lunches

Coaching Program

Pre - program Questionnaire

Congratulations on making this life-changing decision to upgrade your life! In order to serve you better, please take 10-15 minutes to complete this form before the program starts.

As you know, I'm committed to serve you and make YOU happy, please tell me, what would you want to learn from this program. 1means not interested, 5 means 'TELL ME MORE NOW

Building confidence can improve all areas in your life. Id like to see your wheel of life before and after the program.

Congratulations on making this life-changing decision to upgrade your life!
In order to serve you better, please take 10-15 minutes to complete this form before the program starts.

As you know, I'm committed to serve you and make YOU happy, please tell me, what would you want to learn from this program.
1means not interested, 5 means 'TELL ME MORE NOW