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Life Navigation Questionaire
Thank you for taking the time to fill out this questionnaire.
This will ensure that I am able to best serve you during our call together – Kevin
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Email
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Your email
Full Name
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Your answer
Age
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Your answer
Mobile Number
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Your answer
Website (if applicable)
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Your answer
How is your life right now? What are the main challenges that are going on eg. in work, relationships, family life, self-expression?
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Your answer
How are these challenges affecting your health, your life, and your finances?
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Your answer
If I waved a magic wand and your life could be the way you wanted – what would it look like? In other words, how would you want your life and your career/business to be different?
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Your answer
What are your goals over the next 3 months?
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Your answer
What would accomplishing these achievements mean to you?
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Your answer
On a scale of 1-10 (10 being highest) how committed are you to reaching your goals? *
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Not commited
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9
10
Extremely committed
What do you think your challenges are in achieving your goals? *
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Your answer
On a scale of 1-10 (10 being highest) how committed are you to investing in coaching for yourself at this time? *
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Not committed
1
2
3
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5
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9
10
Extremely committed
Have you ever received coaching before? If so, with whom?
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Your answer
If you answered yes above, did this coaching meet your goals both professionally and personally?
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Your answer
Is there anything else you'd like to share with me before we speak?
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Your answer
'Whatever you can do or dream you can, begin it. Boldness has genius, power and magic in it.' – Goethe
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