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1
Name
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First Name
Last Name
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2
Phone Number
Primary Phone Number
Secondary Number
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3
Why are you here? What are you hoping to accomplish from our session?
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4
What are the top 3 challenges in your life right now?
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5
From these 3, what are the top challenges you would like to focus on right now?
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6
If you had a magic wand to make your life look however you wish, what would it look like?
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7
What are your top 3 strengths?
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8
Why is it important to do this work at this point in your life? Why now?
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9
Anything else you would like me to know about to help me understand you better?
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