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InSitu Life Works Discovery Session Questionnaire
Please answer the questions honestly and to the best of your ability. I look forward to speaking with you at your Discovery Session.
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How did you hear about us?
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Through word of mouth.
Though an email I received.
I listened to the podcast and visited www.ToYourGreatness.net.
I found your website, www.InSituLifeWorks.com.
I attended an event where Dawn Mathis was a speaker.
I met Dawn at a networking event.
Other
First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
What is your biggest reason you are interested in a Discovery Session with InSitu Life Works?
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Your answer
What comes to mind when you think about your most challenging life/work challenges right now?
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Your answer
How would you describe the following areas of your life at this moment?
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Completely Unfulfilling
Somewhat Unfulfilling
Somewhat Fulfilling
Completely Fulfilling
Health and Wellbeing
Personal Relationships
Vocation and Creative Expression
Time and Money Freedom
Completely Unfulfilling
Somewhat Unfulfilling
Somewhat Fulfilling
Completely Fulfilling
Health and Wellbeing
Personal Relationships
Vocation and Creative Expression
Time and Money Freedom
Briefly describe your personal ideal for Health and Wellbeing.
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Your answer
Briefly describe your personal ideal for Personal Relationships.
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Your answer
Briefly describe your personal ideal for Vocation and Creativity.
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Your answer
Briefly describe your personal ideal for Time and Money Freedom.
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Your answer
Please describe your previous experience with self-improvement work (books, coaching programs, etc.).
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Your answer
Up until now, what do you believe has held you back from experiencing the life you would truly love?
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Your answer
How motivated are you to invest your time, energy, and resources into changing your results in the most challenging areas of your life?
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Completely unmotivated.
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2
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5
Ready, willing, and able!
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