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Bliss Coaching Questionnaire
Please answer all questions entirely.
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Email
*
Your email
Name (first, last)
*
Your answer
Phone Number
*
Your answer
Time Zone (note if outside US)
*
Your answer
Location (City, State, Country)
Your answer
What is your biggest hurdle right now when it comes to past trauma?
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Your answer
How long have you been dealing with the trauma of past abuse?
*
Your answer
Can you share a little bit about what you’ve endured?
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Your answer
What have you tried to overcome the trauma?
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Your answer
What are your goals for yourself and your relationships in the next 6 months?
*
Your answer
Where would you like to see yourself one year from now?
*
Your answer
What do you think is stopping you from overcoming the trauma?
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Your answer
What do you hope to gain from Bliss Coaching?
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Your answer
How committed are you to self-healing and investing in your self-healing and future?
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Not committed at all - I like being stuck
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I NEED healing RFN! I'm all in!
What are you most looking forward to about Bliss Coaching?
*
Your answer
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