Radiant Confidence 1:1 Questionnaire

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Name* This field is required.
First Name
Last Name
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Best Email* This field is required.
example@example.com
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What age bracket do you fall into?* This field is required.
20-24
25-29
30-34
35-39
40-44
45+
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What City/State/Country are you in?* This field is required.Please include time zone as well
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What days/times are you available for sessions?* This field is required.This would be through zoom, weekly for 75-90 minutes. Preferably uninterrupted and in a quiet/private space.
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Let's dive in - tell me about your personal development journey so far. Books you've read, podcasts you binge, topics that have been front of mind for you, programs you've taken etc. Even if it feels sporadic, I want to know what floats around your mind. * This field is required.Be as honest and open as you feel comfortable with, this is a safe space and I am here to support you.
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Describe your 3 biggest challenges/frustrations that you are ready to work through. * This field is required.
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What are you currently doing to overcome them? What have you tried in the past? (If anything.) * This field is required.
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What's your relationship status? Do you have children?* This field is required.
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What's your relationship like to your work and career right now?* This field is required.
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Describe where you want to be.* This field is required.If I could wave a magic wand and get you the results you are after, what would those results look like in your everyday life - how would you FEEL?
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How committed are you to getting there?* This field is required.
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I'm not ready yet
I'm ALL in
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Have you ever invested in coaching, healing or personal development before?
YESNO
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How do you think coaching can help you grow?* This field is required.
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What is your budget for investing in transformational coaching?* This field is required.My 1:1 containers start at $800 per month. I work with all clients for a minimum of 3 months (lasting transformation is not a "quick fix.") If this is not in your budget, there are other resources I can share to support you.
$200-$500 per month
$500-$1,000 per month
$1,000-$2,000 per month
$3,000 per month
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If you find the right coach, who can support you in solving your 3 biggest challenges - are you ready to invest?* This field is required.
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I am satisfied with my relationship to my body, I choose to rest without guilt, and take care of my body so my sleep and health are optimal and I can show up powerfully* This field is required.
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Strongly Disagree
I've got this 100%
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I am living in the highest expression of self-love * This field is required.
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Strongly disagree
All day, every day!
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I know what my boundaries are, and I communicate them confidently* This field is required.
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Strongly disagree
No problem at all!
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I am connected to my body and can listen to my inner wisdom and guidance confidently* This field is required.
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Strongly Disagree
Confident and connected!
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I know what my needs are and they are met by myself, my relationships and life* This field is required.
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Strongly Disagree
Cool as a cucumber!
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I have a daily movement and meditation practice that helps me stay grounded and connected to my body.* This field is required.
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Strongly Disagree
The best part of my day!
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Instagram handle* This field is required.
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Best Phone Number* This field is required.If based on this form it feels like a good match you'll be invited onto a call so we can get to know each other :)
Area Code
Phone Number
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