Website Questionnaire Form

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1. Have you ever worked with a coach before?* This field is required.

Yes

No

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2. What type of help do you require?* This field is required.

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3. What are your top goals for 2024? * This field is required.

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4. Do you have any hard-to-break habits?* This field is required.

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5. What seems impossible today, that if it were possible, it would fundamentally change your entire life?* This field is required.

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6. Select four emotions that you experience the most?

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7. Do you know your primary and secondary love language?

Yes

No

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10. How do you consider yourself to be? * This field is required.

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8. Are you happy with your body type?* This field is required.

Yes

No

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9. Have you ever been told how you come across to people?* This field is required.

Yes

No

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11. What are your top activities for spending money* This field is required.

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12. Do you understand how to manage your monthly cash flow* This field is required.

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13. Did you learn anything about yourself while answering these questions?

Yes

No

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14. What courses are you interested in?

Emotional Intelligent Man

Emotional Intelligent Woman

Investing

How and When to Show Up

Stocks

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15. How should we contact you?

Discovery Call

Virtual Meeting

Email

Discovery call followed by an email or Virtual Meeting

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Name

First Name

Last Name

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Phone Number

Please enter a valid phone number.

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Email

example@example.com