Please enter your mailing address (Street, City, St, Zip) *
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Please enter your time zone *
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Tell me a little about yourself, what stage of life you are in, your home life, family, career, hobbies, etc... *
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Tell me a little about your personality, your strengths, learning style, passions, who you are... (if you've taken any personality tests, feel free to list your personality type.) *
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What is your motivation or reason for wanting to participate in 1:1 coaching at this time in your life? *
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Have you worked with a coach before or had any 1:1 coaching before? If so, what has your experience been like? *
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Are there any particular reasons that you are interested in working with me and in this program specifically? *
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What are you most hoping to get out of the coaching sessions & working with me 1:1? *
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What are your biggest stressors or obstacles you are dealing with right now? *
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What are the three biggest changes you'd like to make in your life in the next 90 days? *
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1:1 Coaching is an investment in yourself and requires a significant financial commitment, time, energy, willingness to learn, openness to trying new things and to being held accountable to the goals you set and action plans we create together.
On a scale of 1-10, (1 being "nope, not ready at all!" and 10 being "yes, absolutely ready, I'm all in!") how ready and able are you to make the commitment to showing up, doing the work and being held accountable and investing time each day and month for our 1:1 sessions, Voxer coaching and implementing the work into your own life?
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Anything else you want to share with me or ask me?
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