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Name
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First Name
Last Name
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Email
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example@example.com
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3
Website
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4
Briefly describe what you currently offer or do.
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Briefly describe what you want to offer or do.
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6
List the top 3 questions you'd like answered during the course of our consultation.
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7
Overall, how satisfied are you with your work?
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8
How much of what you currently do complements what you want to do?
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Not at all
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9
How far out of your comfort zone is what God is calling you to do?
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No Sweat
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Somewhat Uncomfortable
No Sweat
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10
What is your primary reason for using The Brain Unstuck coaching?
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11
Are you ready, willing, and able to invest your time, energy, and finances in your business growth right now?
Let's do it!
Not ready yet
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12
Is there anything else you would like to share so I can better serve you on our call?
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