Legacy Assessment

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1. Does your mood or anxiety ever feel like a barrier to achieving your goals in work or relationships?* This field is required.
YESNO
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2. Where do you feel most "stuck" or unfulfilled in your life right now? (Examples: career, relationships, health, self-worth, or something else.)* This field is required.
YESNO
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2. Where do you feel most "stuck" or unfulfilled in your life right now? (Examples: career, relationships, health, self-worth, or something else.)
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3. On a scale of 1-10, how satisfied are you with your life overall? What would make it feel “10 out of 10 amazing!”?
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Does your mood or anxiety get in the way of your romantic relationships?* This field is required.
YESNO
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How are you doing right now in mind/body/spirit? (Please rank 1-10; 1 is least satisfied, 10 is most satisfied) Please add details.* This field is required.
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What do you love about yourself and your life MOST?* This field is required.
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What do you love about yourself and your life LEAST?* This field is required.
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As we prepare ongoing experiential opportunities for people like you, what specific topics should we cover? What are your biggest questions about those topics?* This field is required.
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What do you feel remains to be addressed in your life? What situations or aspects do you struggle with most?* This field is required.
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What would "creating ease, love, and legacy" look like in your life? * This field is required.
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4. If you could work with a coach to create a “100% amazing” life, what qualities or services would make you say, "YES, this is exactly what I need"?* This field is required.
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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Country Code
Area Code
Phone Number
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You unlocked your complimentary 1-hour coaching session! 🎉 Andrea’s coaching will: * This field is required.
YESNO
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Book Your Legacy ConsultationReach out to support@andrealuzon.com if you cannot find an ideal time for your schedule. Please click SUBMIT after completing this form.
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