Amie Barsky
Private Coaching Application
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Occupation *
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Rank in order, with # 1 being the most important thing in your life. Family & Partner, Business & work, Self care & Weight loss, personal growth, Spiritual growth
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Rate your level of Confidence- 1 - 5, with 5 being the most confident
What self-improvement tools or practices have you used or tried up to this point? What has worked and what has not worked? Why do you think that is?
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What is your biggest daily obstacle or challenge?
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Rate your desire/commitment to change, with 5 being the highest.
Rate your level of happiness on 1-5, with 5 being the most happy.
What 3 goals do you have right now for your personal and professional life?
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What do you like about where you are now?
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What do you NOT like about where you are now?
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What would this area of your life look like if it were solved?
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What is your ideal vision for yourself in the 6 -12 months?
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Why do you believe working with a coach will help you at this point in your life? *
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We only accept highly committed individuals who are 100% committed to getting results in their personal and/or professional life. Are you willing and ready to commit the time, energy, and financial resources to receiving premium level community and support in creating the results that you desire? *
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