Assessment
Name
First Name
Last Name
Email
example@example.com
1. Which of these best describe your current situation?
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I can't stop stressing about my relationship with my parents. It's ruining my life. I'm constantly fighting with them. I worry about my parents' future, and I feel burdened by the thought of caring for them and guilty for not wanting to.
I have good days and bad days with my parents. Nothing is urgent.
I'm actively working on my relationship with my parents and have support, such as therapy. My parents and I are closer now than we have ever been before.
2. What have you invested in to improve your relationship with your parents? Who have you worked with? What have you done?
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3a. In your own words, describe the outcome that you're looking to achieve by investing in coaching with me.
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3b. What do you feel is your biggest obstacle to improving your relationship with your parents?
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4. How willing and able are you to invest in stopping your relationship with your parents from ruining your life right now?
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less than $500
$500 - $1500
$1500 - $2000
There's no limit; just make it go away!
5. What is your readiness to solve this?
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I'm ready and able to commit now
I'm looking for a solution in 3-6 months
I"m just looking, not in a hurry, in a year
6. Why do you think I can help you? Why would working together be ideal and a win-win for both of us?
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