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Getting to know you
Please complete this form so Raewyn can learn more about you, to see if one of her programs can help you, including her 2 day in-person Reset & Renew Retreat at her house in the mountains of Southern California!
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Email
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Your email
Email
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Your answer
Full Name
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Your answer
Location (Please list State, Country, Time Zone)
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Your answer
Please link your social media handles, LinkedIn, Website, etc... This is for Raewyn to confirm that she is the right person to work with you!
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Your answer
What are your top 3 goals for the next 6 months?
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Your answer
How did you hear about Raewyn?
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Your answer
In 5 words or less, what is it that you do?
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Your answer
Is this what you'd like to continue to doing?
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Yes, I love my work!
No, I am ready for change!
I am thinking about something else but change scares me
What do you feel you need the most help/support on right now?
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Your answer
What kind of support are you seeking?
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Nutrition for Energy
Dissolving Barriers to Success
Breaking Through Burnout
Hypnosis for Anxiety
Breathwork
Other:
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Do you follow a specific diet?
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Dairy Free
Gluten Free
Keto
Paleo
Sugar Free
Vegan
Vegetarian
Citrus Allergy
Tree Nut Allergy
Other:
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Why is receiving this level of support NECESSARY for you right now?
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Your answer
Have you worked with a Coach Practitioner Therapist like Raewyn before?
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Yes
No
Other:
Have you ever invested in personal or business development before?
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Your answer
How much have you invested in your personal development this year?
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Less than $2,500
$2,500 - $7,000
$7,000 - $10,000
$10,000 - $15,000
More than $15,000
Tell me a little bit about your business
Your answer
What state of income are you at with your business?
0-50k
50-100k
100k-250k
250k-500k
500k-1M
1M+
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What excites you most about working with Raewyn?
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Your answer
Is there anything else you'd like to share?
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Your answer
What's the best way to get in touch with you?
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Email
Phone
Zoom
Facebook Messenger
Instagram
LinkedIn
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Thank you so much for taking the time to complete this form! You'll hear from me or someone in my team soon! And if you don't want to wait, you can book directly into my calendar
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