Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Briefly describe what is going on in your life that you really want to give attention to. Examples could be: Career, Love, Relationships, Money, Health.
What has been your biggest struggle in these areas?
If you could resolve your areas of greatest importance to you, describe what life might look like.
What have you tried in the past to resolve these things?Examples could be: Books, courses, podcast, trainings, therapies.
On a scale of 1-10 please rank lowest importance (1) to Highest Importance (10) of the areas you want to give attention to. In other words, how important is it to you, to resolve and achieve your goals in each of the areas you described in question one?
Last question! What do you think I should know about you, if anything, to really coach, mentor or train you so you can truly achieve your goals? Examples could be: Do you sabotage your own success? Not good at saying no and setting boundaries, do you sometimes not follow through, procrastinate, need accountability?
Who can I thank for helping you find me?
Please verify that you are human
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