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survey
Welcome, Beautiful!
This form will help me get an idea of how we can best work together. Get cozy for a few minutes and tell me about yourself!
15
Questions
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
What does pleasure mean to you? What is your relationship to pleasure currently?
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4
What do you most wish to receive from a coaching relationship?
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5
What are your top 3 goals in your life and/or business?
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6
What do you want your life to look like in 3 months? 6 months? One year?
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7
What is your biggest struggle in accessing pleasure, ease, or freedom?
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8
What kind of support and accountability do you feel would be most helpful for you at this time?
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9
How would your life be different if all of your needs were met? What becomes possible when you prioritize pleasure and self care?
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10
On a scale of 1-10, how committed are you to reclaiming pleasure and reaching your goals?
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11
What excites you the most about working with me as your coach?
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12
Are you willing to invest financially in high level coaching support?
YES
NO
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13
What fears or concerns come up when you think of investing in 1:1 support? What do you need to feel safe moving forward?
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14
Is there anything else you’d like me to know about you?
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15
Would you like to be added to my mailing list to receive occasional email updates and special offers? (Your info is secure & won't be shared with anyone else.)
YES!
NO THANKS
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16
Tags
Todo
In Progress
Done
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