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Which of the following best describes your current status?

I’m just launching or in the early stages of my business/career

I’ve established my business/career but need strategic growth

I’m a mid-level or senior executive seeking higher performance

I run a mature business looking to scale or pivot

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What is your #1 priority right now?

Increasing revenue or profit

Improving work-life balance or personal fulfillment

Transitioning careers or starting something new

Achieving better health and vitality

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Why are you seeking coaching at this time?

Feeling stuck or plateaued

Wanting structured accountability and support

Seeking strategic direction for growth or change

Looking for a mentor to expedite results

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How fast would you like to see progress toward your goals?

Immediately (within the next 1–2 months)

Short-term (within 3–6 months)

Long-term (6+ months)

Not sure yet—looking to explore options

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How prepared are you to invest time, energy, and resources into your growth right now?

100% ready—I’m all in

Somewhat ready—I need more clarity before fully committing

Unsure—I’m exploring possibilities

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How many hours per week can you realistically commit to working on coaching action items?

1–2 hours

2–5 hours

5–10 hours

10+ hours

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What could prevent you from fully engaging in a coaching program?

Time constraints (family, work, etc.)

Financial constraints or uncertainty

Lack of clarity on goals

No major obstacles—I’m ready

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Which coaching style do you typically respond to best?

Direct, no-nonsense feedback

Empathetic, supportive guidance

Data-driven, analytical approach

A balanced mix of the above

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If you could wave a magic wand, where would you like your business/life to be in the next 12 months?

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Is there anything else you’d like me to know about your goals, challenges, or expectations before we potentially work together?

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How large is your current business in terms of annual revenue?

Pre-revenue / Up to $50K

$50K – $250K

$250K – $1M

Over $1M

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If accepted into this coaching program, which best describes the level of financial commitment you’re ready to make in your personal and business growth right now?

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