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SelfSync Therapy Application

Congratulations! You've completed the first step. So, if achieving peak performance to unleash your full financial potential is a high priority for you right now complete this quick assessment.

Click the button below to get started.

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Question 1 of 16

I'd like to tap into my full potential.

A

True

B

False

Question 2 of 16

I do a lot for the people around me.

A

True

B

False

Question 3 of 16

There are people around me that take more than they contribute.

A

True

B

False

Question 4 of 16

I don't always know who I can trust and confide in.

A

True

B

False

Question 5 of 16

I'd like to leave a lasting legacy that I can take pride in.

A

True

B

False

Question 6 of 16

It's important that I completely eliminate any bad habits that distract me from my legacy.

A

True

B

False

Question 7 of 16

It's important that I completely eliminate any bad company that distracts me from my legacy.

A

True

B

False

Question 8 of 16

It's important that I completely eliminate any bad decisions that distract me from my legacy.

A

True

B

False

Question 9 of 16

I'm open to learning mental health tools that help me achieve peak performance and my full financial potential. 

A

True

B

False

Question 10 of 16

It's important to my success to have a network of exceptional people around me.

A

True

B

False

Question 11 of 16

I am looking for results driven therapy that get's fast, long-lasting results.

A

True

B

False

Question 12 of 16

Generational wealth is important to me.

A

True

B

False

Question 13 of 16

I am an athlete. (All levels of athlete included.)

A

True

B

False

Question 14 of 16

How did you here about SelfSync Therapy?

(Select all that apply)
A

YouTube

B

LinkedIn

C

I heard Kiné speak

D

I heard Kiné on a podcast

E

Referred by trusted advisor

F

Google

G

A friend referred me

H

Other

Question 15 of 16

Please add anything you think will help us understand your unique situation? (Type N/A if there is nothing to add.)

Question 16 of 16

How ready are you to recover, manage, and prevent mental injury on a scale from 1-10. (With 1 being the lowest level of readiness and 10-being the highest level of readiness.)

Confirm and Submit