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Name
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Your answer
Cell Phone Number
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Your answer
Email
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Your answer
What is your main reason for seeking coaching at this time?
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Your answer
What have you done in the past around this area of your life?
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Your answer
What has been effective or helpful?
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Your answer
What would you like to be experiencing in your life?
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Your answer
What are you willing to invest in transformation at this time? (time, energy, money, activity and habit changes, etc.)
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Your answer
What do you hope to get out of our time together?
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Your answer
What are 5 things you love about your life?
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Your answer
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