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1:1 Coaching
Hey queen,
Please fill out the form so I can get a deeper understanding of your desires, challenges, who you are and how I can best support you prior to working together!
Amy 💋
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Email
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Your email
Full Name:
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Your answer
Birthday:
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Instagram handle:
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Your answer
Date of birth (Day/Month/Year)
Time of birth (exact, if known)
Place of birth
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Your answer
What's your Human Design profile? List all the details you know.
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Your answer
What are you seeking from our mentorship? List specific desires, goals or challenges that you'd like support with.
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Your answer
What attracts you to working with me?
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Your answer
What coaching, healing, self development have you previously experienced or invested in?
Your answer
Are you committed to practicing self responsibility and clear communication with me if triggers/conflicts arise or when you feel vulnerable?
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YES
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If you could achieve 1-3 desires/dream during our time together that would make you go "wow!" what would that be?
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Your answer
What current frustrations or challenges do you want to address in our work?
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Your answer
What have you previously tried (successfully or unsuccessfully) in order to resolve these frustrations or challenges?
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Your answer
On a scale of 1 to 10 how ready are you to invest intention, time and energy into your goals?
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1 = Poor
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10 = Thriving
What's something important you want me to know about you?
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Your answer
Astrology Chart - Sun Sign, Ascendant, Moon? Please share all that you are aware of.
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Your answer
Have you taken any of my other programs before? If so, please list which ones.
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A copy of your responses will be emailed to the address you provided.
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