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Please provide your first name: *
What’s the best way to be in contact? (email, Instagram, Signal, phone, Zoom, Line, WeChat). What’s your address/number/handle?   *
What stage of your career are you in? *
How would you describe your current work/life balance?
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What are the three biggest changes you'd like to make in your life within the near future?
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On a scale of 1 to 10, how motivated are you to successfully make those changes?
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Please provide a rough date at which you'd like your coaching sessions to begin.
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Where did you find The Agile Lifestyle? *
Is there anything else you'd like us to know about?
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