Full Name
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Phone
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Email
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Birthday
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Address
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How did you hear/learn about me?
What do you do professionally? Do you enjoy it?
What is your Job Title or Business Name?
Please include your primary personal or business website URL, if applicable.
What is your current annual personal income?
What is your desired annual personal income?
What are you currently struggling with? Is there anything overwhelming you?
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How is this problem affecting your health, family life, and finances?
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If I waved a magic wand and you could have it any way you wanted, what would it look like? In other words, how would you want your health, relationships, and career/business to be different?
What do you think is preventing you from getting to where you want to be?
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What are your goals over the next 3 months and what would accomplishing these achievements mean to you?
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What is your current relationship status? Is the current situation satisfying?
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On a scale of 1-10 (10 being highest) how committed are you to reaching your goals?
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What do you think your challenges are in achieving your goals?
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How quickly are you looking to achieve these goals?
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Have you ever received coaching or therapy before?
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If so, who was your coach or therapist? What did you feel worked well or what didn't you find effective? Did you meet your desired outcomes?
Do you have spiritual/Religious or meditative practice or beliefs? If so, please share a bit about it.
Anything else you'd like to share with me before do we speak? Or that me knowing could help me help you?
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