Sh8peshift Your Life Coaching Pre-Call
Hey You!

First off, congrats for having the courage to put yourself first and make a commitment to coaching. I want to maximize our time together so you can walk away from our session with real results. Please take the next 20 minutes to complete this form so I can learn more about you and ways I can support your journey. Everything you share will be kept strictly confidential and will not be discussed with others.

Keep Shifting,

Z

Name *
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Phone *
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Email *
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Occupation *
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Age *
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Relationship Status *
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Preferred Gender Pronoun *
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What is the topic or issue that you would like to be coached on? *
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Where would you like to say "yes" to that you are currently not saying yes to?
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Where would you like to be in 9 months and whats keeping you from that?
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How long have you been attempting to address this issue? *
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What have you tried so far? *
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On a scale of 1 to 5 rate your
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