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Dr Barbara Eaton: Discovery Call Self Evaluation
This questionnaire is the first step in meeting Dr Barbara for a Deep-Dive Discovery Session. Please be as honest as possible. All responses are confidential and will only be read by Dr Barbara
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Email
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Your email
Name: (First + Last)
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Your answer
Cell Phone Number:
Your answer
What intrigues you about our upcoming Discovery Video Call?
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Your answer
What is your BIG vision? If everything went your way for the next 3 years, what would be different in your life and business?
Your answer
What level of impact are you making in the world throughout the next 3 years? How will you measure that impact?
Your answer
What income do you want to earn within the next 1 year?
Your answer
What income do you want to earn within the next 2 years?
Your answer
What income do you want to earn within the next 3 years?
Your answer
Rate your level of overall happiness
I am miserable.
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5
I am drunk on happiness.
Clear selection
Rate your level of overall joy
I am intensely sad.
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5
I am exceedingly joyful.
Clear selection
Rate your level of overall satisfaction
My white flag is raised.
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5
Pinch me! I cannot believe this is MY life!
Clear selection
What's keeping you from getting the most you want in life?
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Your answer
What have you tried to solve your challenges on your own?
Your answer
What keeps showing up that slows you down and gets you frustrated?
Your answer
What have you been tolerating in your life? In your practice?
Your answer
When you get insecure, what do you do?
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Your answer
If a miracle were to happen as a result of our coaching together, in any area of your life, what would that miracle be?
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Your answer
If, together, we were able to create the miracle that you listed above, what price seems right to you for that to become reality?
PRICELESS!
$100,000-$125,000
$50,000-$100,000
$25,000-$50,000
$ 10,000-$25,000
Clear selection
Anything else I should know?
Your answer
Send me a copy of my responses.
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