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Coaching application
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* Indicates required question
What has been your biggest challenge in creating lasting change in your life so far?
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Your answer
Have you tried coaching/therapy before?
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Yes
No
What have you tried before to solve this issue?
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Your answer
How have you typically responded when someone has pointed out a blind spot or pattern in your behavior?
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I get defensive
I am grateful, this is exactly what I want
I take it in and assess how I feel about it and whether I agree with it or not
Other:
On a scale of 1-5, how self-aware are you?
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1
2
3
4
5
Do you have emotional support in your personal life?
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Yes, family and friends
Yes, a friend or two
Yes, a therapist
None
Where can I contact you?
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Your answer
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