Life Navigation Questionaire
Thank you for taking the time to fill out this questionnaire.
This will ensure that I am able to best serve you during our call together – Kevin
Email *
Full Name *
Age *
Mobile Number *
Website (if applicable) *
How is your life right now? What are the main challenges that are going on eg. in work, relationships, family life, self-expression? *
How are these challenges affecting your health, your life, and your finances? *
If I waved a magic wand and your life could be the way you wanted – what would it look like? In other words, how would you want your life and your career/business to be different? *
What are your goals over the next 3 months? *
What would accomplishing these achievements mean to you? *
On a scale of 1-10 (10 being highest) how committed are you to reaching your goals? * *
Not commited
Extremely committed
What do you think your challenges are in achieving your goals? * *
On a scale of 1-10 (10 being highest) how committed are you to investing in coaching for yourself at this time? * *
Not committed
Extremely committed
Have you ever received coaching before? If so, with whom? *
If you answered yes above, did this coaching meet your goals both professionally and personally? *
Is there anything else you'd like to share with me before we speak? *
'Whatever you can do or dream you can, begin it. 
Boldness has genius, power and magic in it.' 

– Goethe
A copy of your responses will be emailed to the address you provided.
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