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1:1 Coaching Intake
Align With Emily J
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Email
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Your email
First & last name:
Your answer
On a scale of 1-10 what is your level of stress?
I rarely experience stress
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2
3
4
5
6
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10
I am in a chronic state of stress
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Are you working full time? If so, what is your job?
Your answer
What is your relationship with work?
Love my job! I fulfilled pretty much daily
I could care less - would love a career change
It's okay, it pays the bills
Other:
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Do you practice mindfulness?
Yes, everyday
I try but it's a work in progress
No, I don't know what that means
Other:
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How can I best support you? Top 3 goals?
Your answer
Additional information you think Emily should know:
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