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1 to 1 12 Week Coaching Interest Form
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First and Last Name
*
Your answer
Email Address
*
Your answer
What is the primary reason you are interested in coaching?
*
Your answer
My coaching incorporates Biblical Truth and principles. Is this in line with your belief system?
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YES!
Whoops, wrong person for me
Required
If selected, what do you hope for the 12 weeks we work together?
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Your answer
Share with me a little about your struggles.
Your answer
Do you believe that your fear, overwhelm, uncertainty, life issues, heartbreak, etc. could be holding you back from the life God has called you to live?
Absolutely
No, I don't
On a scale of 1 - 10, how motivated are you to do the hard work to create the life of your dreams?
Your answer
If everything in your life WERE to stay the same, what feeling would you hate having to deal with each day?
Your answer
If everything in your life stayed the same as it is right now what are you DOING or NOT DOING that you would regret?
Your answer
Is there anything that would prevent us from working together if selected?
Your answer
Please share additional information you'd like me to know prior to our call together.
Your answer
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