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I'm Ready Intake Form
Thank you for taking the time to complete these questions before our work together. Your responses will help me understand what feels important to you right now and where we may begin. All of your information will be kept confidential.
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First Name, Last Name
Your answer
Phone Number
Your answer
1. What is your main area of concern? What does success look like to you?
Your answer
2. What has worked for you in the past to achieve your desired outcome?
Your answer
3. What obstacles, challenges, and struggles might prevent you from achieving your goal?
Your answer
4. What are 5 things you LOVE about your life?
Your answer
5. If you could magically take back control of every day, become energized, feel accomplished, and love your life again your way in the next 90 days, what might that look like?
Your answer
6. Have you ever worked with a coach? Please share your experience.
Your answer
7. What do you hope to get out of our time together?
Your answer
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