Consulting Intake Questionnaire
This form will allow me to make sure that I can provide the most value possible for our discovery call together.  Please fill it out as thoroughly and honestly as possible, so that I can make sure that we are a good fit to work together.
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Name *
Phone *
Location (City, State) *
What is the specific problem or problems that you are currently facing? *
As a result of the problem, what challenges or conditions are currently showing up in your life? *
How long has this been a problem? *
What have you tried to solve this problem? *
How important and urgent is solving this problem? *
What are your long term goals that you would like to work on through coaching? *
Are the important people in your life (spouse, business partners, etc) aware of you seeking coaching, and are they supportive? *
How willing and able are you to invest $1-$3K per month to sincerely up level your life? *
What attracted you to want to work with me? *
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