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First name
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2
Email address
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example@example.com
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3
WHERE HAS YOUR LIFE QUIETLY GONE OFF COURSE?
Clearly identify the biggest leverage moves you can make right now to radically improve your life. About 3 minutes. No motivational fluff. Just an honest look at where you are, where you want to go, and what may be keeping you there.
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4
What feels most out of alignment right now?
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Physical health and energy
Mental clarity and attention
Work and purpose
Money and financial freedom
Relationships and community
Habits and use of time
Confidence and self-trust
Overall direction
Honestly, several of these.
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Which best describes your life right now?
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Mostly good, but I’m capable of more
Functioning, but drifting
I know what must change but don’t follow through
Overwhelmed and unsure where to begin
I’ve built a life that no longer feels like mine
I’m at a genuine turning point
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What is getting in your way?
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No clear vision
Unclear values
Habits/environment pull me backward
Too much information, too little action
Lack of self-trust
Poor consistency
Work/money/responsibilities consume my energy
Lack of support/accountability
I’m not sure—that’s part of the problem.
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How much of your current life feels deliberately chosen?
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0
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9
0 = Mostly reacting and surviving
10 = Consciously building the life I want
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Drift is still a direction. It simply lets someone—or something—else choose the destination.
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9
If nothing meaningfully changes over the next 12 months, what concerns you most?
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Declining health/energy
Another year lost to drift
Unfulfilling work
Finances controlling my choices
Weaker relationships/community
Losing certainty about who I am
Avoiding a necessary change
Other
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10
Please specify:
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11
Now reverse it: what would make the next 12 months feel genuinely transformative?
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12
What support would be most useful?
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Understanding what’s happening and why
Independent practical frameworks
Focused assessment
Accountability
One-on-one coaching
Unsure/exploring
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13
How soon are you prepared to make meaningful change?
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Now
Within 30 days
Within 3 months
This year
Primarily seeking ideas
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YOUR ANSWERS ALREADY REVEAL SOMETHING.
Enter your information to receive your assessment and relevant next steps.
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Instagram handle
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Send me the assessment, practical PLACSLAB ideas, and occasional information about coaching. I can unsubscribe whenever I want.
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I agree
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