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JCS Coaching Questionnaire
The purpose of this questionnaire is to help me better understand what you hope to gain from our call together. None of your information will be distributed or shared.
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Email
*
Your email
Name
*
Your answer
Age & Location
*
Your answer
What do you think currently stands in the way of your growth?
*
Your answer
How do you think your life would change in 3 months if you overcame your current obstacle(s)?
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Your answer
Have you attempted to solve this problem yourself? If so, what have you tried?
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Your answer
On a scale from 1-5 (1 being take it or leave it, 5 being I need to do something NOW) how important is it for you to overcome your current obstacles and make a lasting change in your life?
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Not important
1
2
3
4
5
Very important
Why did you choose that number?
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Your answer
What are you most looking forward to discussing on our call?
*
Your answer
Current income status
*
Choose
Unemployed
Under $20K per year
$20-$40K per year
$40-$60K per year
$60-$80K per year
$100K - $150K per year
$150K+ per year
How did you find out about my coaching?
*
Choose
Facebook
Instagram
Twitter
Medium
Quora
My Newsletter
Google Search
Referral
Other
Is there anything else you'd like me to know?
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Your answer
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