Working with Dr. Katie Henry
I appreciate you taking the time to complete this form. This in conjunction with our call let me know which option would be best for you and how to move we get to forward. Thank you for your interest in working with me!
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Dr. Katie Henry
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Email address
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Your email
Full Name
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Your answer
Phone Number
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Your answer
What type of service/business do you do? Who do you serve? (be specific)
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Your answer
What do you desire to change so that you can living the life you desire and create the business you want?
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Your answer
What steps have you taken towards your goal of creating a profitable business you enjoy?
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Your answer
How do you want to feel in your business and life?
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Your answer
What is your biggest goal you want to achieve in your life, business/career and yourself in the next 6 months?
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Your answer
Why isn't that happening yet? What struggles are you having in your business and in your life?
Your answer
What made you decide to apply for this session? What is your intention with applying for the session?
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Your answer
Would you prefer individual coaching or a group environment?
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Your answer
Why are you wanting to work with Dr. Katie/ what type of support do you desire?
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Your answer
Are you ready to invest in your business and yourself?
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Yes I have $5,001-$10,000+ to invest in my business/self
Yes I have $2500-$5,000 to invest in my business or self
Yes I have $500-$2,500 to invest in my business or self
On a scale of 1 to 10 (10=most committed), how committed are you to making this change in your life and your business?
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Not very Committed
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10
Extremely Committed
I am only able to schedule sessions with those I know I can truly help. Is there anything else you would like us to know when considering your application to work with me?
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Your answer
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