The Clarity and Confidence System: Pre-Qualification Assessment Form

The Clarity and Confidence System: Pre-Qualification Assessment Form

This is your 8-Week Transformation Journey to become the woman that God created you to be! No more settling. No more tolerating being mishandled. No more second guessing your value and worth. You are about to take back what life tried to steal from you...your power! Please complete the following questions, being as transparent as possible. The more you share, the greater the breakthrough. I look forward to being your Life Strategist and witnessing your transformation. NOTE: The investment for the entire program is $4,997.00. If payment arrangements are needed, let's discuss it. I am committed to your WIN!
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
What are your primary reasons for seeking coaching at this time? Please describe your current situation, challenges, and struggles.
What specific areas of life do you feel stuck or limited in? (e.g. career, relationships, personal growth, etc.)
What do you believe is holding you back from reaching your full potential?
Describe your long-term and short-term goals. What do you hope to achieve through this coaching program?
How do you envision your ideal life or career? Describe your DREAM life/career.
On a scale of 1-10, how satisfied are you with your current situation?(1 being very dissatisfied, 10 being completely satisfied)
What are the top three challenges or obstacles you believe you need to overcome to achieve your goals?
What are your greatest strengths and areas of expertise?
How do you typically cope with stress or challenging situations?
What personal and professional values are most important to you?
In what ways do you feel you've grown or changed in the past year?
How do you define success for yourself?
What would you consider a significant breakthrough or transformation in your life during this coaching program?
Are there any specific topics or areas you would like to focus on during the coaching sessions?
What do you hope to gain or experience as a result of participating in this coaching program?
What fears or limiting beliefs have you identified that may be holding you back from pursuing your goals?
How do you typically approach and handle uncertainty or change in your life?
What self-care practices do you currently engage in to maintain your overall well-being?
If you could envision your ideal self five years from now, what personal and professional accomplishments would you like to see?
What are some areas in your life where you feel you have failed or any areas where you feel you have disappointed yourself?
Please take your time to provide thorough and honest responses to the questions above. Your answers will guide our coaching journey together and help me tailor the program to meet your unique needs and aspirations.

Thank you for comepleting this assessment questionnaire. I'm excited to join you on this empowering journey of growth and transformation!!
Your Life Strategist and Spiritual Mentor,

Dr. Faith
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