Work with Jen Chacon / Dare to Thrive
Welcome! I'm so excited you've landed here. This quick form should take less than 3 minutes. And it's our first step in seeing how I might help you thrive in life!
Let's start with what brought you here!
Just some quick thoughts to get started!
What made you click on a link? Was it a specific program? Is there a problem, frustration or area of life you'd like to change?
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What drew you to reach out to me specifically?
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A little 30,000 foot view of life.
A quick check on how you are doing in each of these 7 areas of life. Rate each however YOU interpret it. There is no "right or wrong."
On a scale of 1-10 how would you rate your overall physical health?
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On a scale of 1-10 how would you rate your financial health?
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On a scale of 1-10 how would you rate your faith / spiritual health?
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On a scale of 1-10 how would you rate your family relationships (immediate family in particular)?
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On a scale of 1-10 how would you rate your satisfaction / engagmenment with your current career / profession?
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On a scale of 1-10 how would you rate your current satisfaction / engagement with friends?
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On a scale of 1-10 how would you rate your current level of fun in life?
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Is there one of the seven areas above you would most like to change or improve?
EATING HABITS - How often do you eat and what types of food? How many servings fruit / veggies per day?
SLEEP - How much sleep do you get each night?
Hours
HYDRATION - What do you typically drink?
OUTLOOK - How would you describe your outlook or attitude generally?
STRESS - How stressed are you (scale of 1-10; 10 being highly stressed)
ENERGY - How would you describe your energy level most days?
Why is NOW the time for you to consider this?
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What are 3-5 words that describe you?
Some contact info
So we can keep in touch! I don't like bugging our spamming people so while I'd love to keep in touch I try to be respectful with any communication, give ways to opt out and never take it personally if you tell me to go away. :)
First & Last Name
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Phone number
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Area Code
Phone Number
Email
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example@example.com
What's next?
After you click submit, you'll be redirected to my scheduling page to schedule our connection call (via zoom) where we get to meet, ask each other questions and see if we're a fit to work together or at least continue the conversation These are usually about 20 minutes and I keep it pretty casual. Think of it as a "coffee date." In fact feel free to bring your favorite beverage to the call. :) Thank you for completing this and I'm looking forward to meeting you!
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