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Chris Walker Coaching Application
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What's your full name?
Your answer
Why is NOW the time that makes sense for you to reach out to me?
Your answer
What is ONE thing you want to change in your life in the next three months? What do you feel is hindering you the most from making this change?
Your answer
List up to ten things you would love to have in your life or 'more' of, in your life.
Your answer
In what area(s) of life do you experience the most stress? What creates that stress? (Be specific) Expectations. S
Your answer
On a scale of 1 to 10, how would you rate your current stress level?
lowest
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10
highest
Clear selection
What is missing in your life today that you deeply desire?
Your answer
Are you consciously aware of any adverse events that happened during your childhood? (Bulling, Loss of parent/loved one, Natural Disasters, Physical Abuse, Sexual Abuse or Emotional Abuse etc).
Option 1
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Do you have any addictions? Drugs, medication, sex, gambling, coffee, food. In other words, what do you lack self-control with that is detrimental to your health?
Your answer
Have you worked with a coach before or a similar one-on-one adult relationship? (e.g. coach, mentor, teacher, and therapist)? If so, what worked well for you and what did not work in the relationship(s)?
Your answer
What are 3-5 words that describe you?
Your answer
What is your email address?
Your answer
Where are you based at the moment and in what time zone are you?
Your answer
What is your phone number?
Your answer
What's your Instagram handle, if you have one?
Your answer
Where would you like to see yourself when this program is over? What do you think it will take to get there?
Your answer
What are the games you play against yourself that sabotage your success?
Your answer
What is your current annual revenue?
Your answer
Which topic would you love to focus on during your first coaching session and why? (If you do not know its okay, just type I don't know yet)
Your answer
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