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Productivity and Success - INTAKE
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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(The phone number will be used to assign you to a Telegram group. You will not be receiving any calls. Please use the same phone number that you have used to register on Telegram. If you’re not sure, please open the app and double check. This is very important – otherwise, I will be able to add you to the group)
Please enter a valid phone number.
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4
Which of the following best describes your work style?
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Busy, fast-paced, almost chaotic
Organized and methodical
Flexible and free-flowing
It depends on who I'm working with
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5
Which of the following do you wish you had more of?
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Time
Focus
Discipline
Creativity
Freedom
Street-smarts
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6
There are numerous tasks that you need to accomplish today. What would describe your approach best?
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You make a list and start going through the tasks one by one, like you're killing snakes
You know what you need done - why make a list? You just go for it first thing in the morning.
You make a general plan of what you need to do - but unexpected circumstances and interruptions always seem to change the plans for you
You make a general plan of what you're going to do and when, without breaking it down to the specific tasks
There is always a lot to do. You do what you can, and do your best in no specific order
There is a lot to do. It all starts with a deer in headlights feeling every morning. Then, it's a chaos
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7
What does your average day look like? Describe your typical tasks and schedule.
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8
At the end of each day, what does your to-do list usually look like?
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"Done and dusted – I make sure I finish everything, even if that means working overtime."
"There are still a couple of tasks left, but at least I took care of the biggest items on the list."
"Exactly the same as at the start of the day – straying off-course just can’t be avoided."
"Somehow, it’s even longer than it was at the start of the day!"
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9
If you met a good fairy, who offered to grant you one wish pertaining to work and self-improvement, what would that wish be?
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10
Is there anything else you feel is important for the therapist to know before we start the chat?
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