Strategy Session Questionnaire
Goal: To help you reach heightened levels of clarity, energy, courage, productivity, and influence on your march to a successful, healthy, and fully charged life.

Instructions: Please answer the questions below and on the following pages to the best of your ability!
Your Full Name *
Phone Number *
City, State *
Email *
Occupation *
Date of Birth *
Gender *
Marriage Status *
Please briefly describe how you heard about my coaching services and why you would like a Strategy Session with me: *
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