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Welcome
Looking forward to connecting with you. Please fill out this short questionnaire so we can make the best use of our time together! Deborah
13
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1
Name
First Name
Last Name
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2
Email
I will be contacting you via the email you provide. Please double-check to make sure it's accurate.
example@example.com
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3
Phone Number
I will only be calling you if we have a technology glitch! They do happen!
Please enter a valid phone number.
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4
Time Zone
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5
What is the most important challenge you are facing right now?
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6
What is one word that would describe how you are feeling right now about your current situation?
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7
What is something you would like to achieve in the next 90 days?
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8
What is one behavior/mindset you would like to add or eliminate from your life right now?
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9
Have you ever worked with a life coach before?
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NO
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10
What do you think has been holding you back from moving forward?
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11
Are you ready to go all-in and transform your life?
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Maybe this was a bad idea
Absolutely! I want to get started!
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12
Is now the best time for you to invest in yourself so you can live the life you desire?
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I just need some confidence and encouragement
I should have done this a long time ago!
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13
Can I add you to my mailing list?
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NO
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