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Email
example@example.com
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2
Name
First Name
Last Name
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3
What areas of wellbeing are important to you?
Our holistic wellbeing is influenced by each of these areas. The level of energy, engagement, or stress we experience in relation a task, activity, or situation is also affected by these areas.
Spiritual
Mental & Emotional
Physical
Social
Environmental
Holistic
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4
What would you like for me to know about you?
It can be about your identity, communities, values, goals, challenges, or something else about you.
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5
How soon would you like to start one-on-one coaching sessions?
This helps me understand where we are in your decision making and timeline.
I'm ready to start now!
I'd like to start soon.
I'm not sure. I'd like to learn more to help me make a decision.
I'm not ready yet. I'd like to stay in touch and receive information about opportunities to work together in the future.
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6
Let's say we work together for the next 12 months. What would be your dream result one year from now?
Write it in the present tense, like "I'm doing.../ I'm feeling.../ I have..."
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7
What time zone are you located in?
Feel free to let me know your current or upcoming time zone(s), in case it's useful to know when it comes to scheduling.
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8
What questions do you have for me?
Your curiosity is welcome here.
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