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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
What Coaching Program are you applying for?
Wake The Fuck Up
Stay Woke
Woke AF
Mind Yo Biz-nass
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4
How did you find me?
Facebook
Instagram
TikTok
Website
Referral
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5
What do you consider to be some of your strengths?
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6
What do you consider to be some of your weaknesses?
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7
What would you like to accomplish out of your time in Coaching?
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8
Are you happy at your current employment? If no, please tell me briefly what you would like to be doing differently.
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9
Please list the names and relationships of the five most important people in your life
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10
What do you enjoy doing in your free time or for fun?
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11
What is your spiritual orientation?
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12
What is your higher purpose?
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13
If you knew you could not fail, what would you attempt to do?
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14
When you treat yourself, what are the things you like to do?
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15
What is your idea of a perfect vacation?
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16
What part of your life is working well?
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17
What part of your life could be working better?
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18
What are your life values? What is most important to you?
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19
What interests you in Spiritual Coaching?
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20
I hold myself fully accountable for the results I create in my life.
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Hell No!
Hell YEAH!
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21
I am committed to my own personal growth and am willing to invest the necessary time and energy.
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Hell YEAH!
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22
When I have a setback in life, I am able to bounce back quickly.
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Hell YEAH!
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23
I am able to receive support and contribution from others.
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Hell No!
Hell YEAH!
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24
Type a question
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25
Have you ever been coached before? If yes, please describe the experience:
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26
Is there anything else you would like me to know about you or your circumstances before we begin?
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27
Do you understand coaching is not therapy or a replacement for medical advice?
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28
Do you agree that YOU are accountable for your results?
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