Earth Embrace Coaching
Please fill out this brief questionnaire to see if we are a good fit for each other.
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Given/Chosen First Name *
Given/Chosen Last Name *
Email *
When did you first realize you wanted to connect back into your natural roots? (How long ago?) *
Which of these statements apply to you? *
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What are the three biggest challenges you are currently struggling with? *
What are your top three goals for the next three months? *
How motivated are you to accomplish these goals? *
On a scale of 1-10, how serious are you about working with me over the next few or several months? *
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