Work with Katie

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Unique ID
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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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What is your Instagram handle?* This field is required.
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How did you hear about Katie?* This field is required.
Instagram
Facebook
LinkedIn
Internet Search
Podcast
Referral
Other
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Have you done coaching, courses or trainings before?* This field is required.
Yes
No
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Do you own your own business, currently?* This field is required.
Yes
No
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What are you hoping coaching with Katie will help you with? Be as specific as possible as to why you're reaching out and what your personal & professional goals are.* This field is required.
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How often are you in your head about your life and/or business?* This field is required.
ALL THE TIME - I’m losing sleep over it!
More than I’d like - I feel like I’m thinking too much and not doing enough
Average - I feel balanced in this department
Rarely - I will get in my head sometimes, but it doesn't impact me that much
Never - I don't get in my head at all
Other
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How often do you experience any of these cognitive symptoms?* This field is required.
Frequently
Sometimes
Rarely
Overwhelmed
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Numb
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Procrastination
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Low motivation
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Brain fog
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Stuck
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Irritability
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Anxiousness
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Overwhelmed
Numb
Procrastination
Low motivation
Brain fog
Stuck
Irritability
Anxiousness
Frequently
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Sometimes
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Rarely
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Sometimes
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Sometimes
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How often do you experience any of these physical symptoms?* This field is required.
Frequently
Sometimes
Rarely
Headaches
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Insomnia
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Fatigue
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Diarrhea or Constipation
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Acne
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PMS, painful or heavy cycles, hot ashes
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Low sex drive or trouble reaching orgasm
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Nausea/Heartburn/Upset Stomach
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Pain
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Headaches
Insomnia
Fatigue
Diarrhea or Constipation
Acne
PMS, painful or heavy cycles, hot ashes
Low sex drive or trouble reaching orgasm
Nausea/Heartburn/Upset Stomach
Pain
Frequently
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Sometimes
Row 0, Column 1
Rarely
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Frequently
Row 1, Column 0
Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Sometimes
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Rarely
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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What did you like about your experience with business coaching/courses in the past? Did you feel like anything was missing?
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Describe where are you today compared to where you want to be in 2 weeks? Be as specific as possible.* This field is required.
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Imagine it's 6 months from today, what are we celebrating that you have accomplished during our time coaching, together?* This field is required.
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What else should Katie know about you to help her coach you to give you the best experience & be as supportive as possible?
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