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Coaching Application
Please answer all questions. After submitting your answers, I will review the info provided and determine if you we are a good match for coaching. Thank you.
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Email
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Your email
First/Last Name
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Your answer
Phone number (please include area code)
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Your answer
How did you hear about Max?
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Your answer
How old are you?
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Your answer
What challenges are you currently experiencing ?
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Your answer
How have you approached dealing with these challenges? (Prior meetings with Therapist, Coach, self-help etc…?)
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Your answer
On a scale of 1-5, how motivated are you to put in the required work necessary to see real change and growth in your life and outlook?
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Your answer
On a scale of 1-5, how secure do you feel financially? (Coaching is an investment in yourself and your life)
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Your answer
Are there any obstacles getting in the way of you moving forward with coaching at this time?
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Your answer
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