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Blue-to-Green Pre-Coaching Questionnaire
Help Amy to get a better understanding of your needs by answering the following questions:
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* Indicates required question
Email
*
Your email
Name
*
Your answer
How tired are you of your current situation?
*
I'm not tired at all!
0
1
2
3
4
5
I am BEYOND tired of this situation.
How much pain are you in regarding this situation?
*
I am not in pain.
0
1
2
3
4
5
My pain is higher than this scale can convey.
Under "the right" conditions, could you stay in this situation?
*
Yes, if the circumstances were right I could stay.
0
1
2
3
4
5
No, there is no imaginable circumstance that would make me stay.
How committed are you at this time to making a change?
*
Not committed. I'm more so exploring my options.
0
1
2
3
4
5
Highly committed and highly motivated - something must change NOW.
How much work are you willing to put in to make this change happen?
*
None. I am seeking a coach that will tell me what to do and I just do that.
0
1
2
3
4
5
Willing to try things that I would have never imagined and are out of my comfort zone.
Coaching is an investment in one's own personal growth. Please clarify your
TOTAL
planned budget.
{Note: there are many options for coaching, from a 1-time course/service to monthly/yearly services, group or individual.}
*
$0 - 99
$100 - $249
$250 - $349
$350 - $499
$500 - $999
$1000 - $4999
$5000 - $10000
Required
Yes or No: Do you have a clear goal in mind?
Your answer
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