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Energy Coaching Application
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* Indicates required question
Email
*
Your email
Age
*
Your answer
Which of these would is a priority for you to shift your current experience?
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Health (physically achieve higher goals)
Wealth (Receiving more money/clients, expanding business, work with more passion )
Love (Align with divine partner, shift my relationship, friends & family)
Self-Expression (tap into my creative genius, be my most authentic self)
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Instagram
Your answer
What are the changes you would like to make in your life over the next 2-5 years
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Your answer
Why do you want to achieve what you want to achieve?
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Your answer
What short-term goals would you like to accomplish over the next 3-6 months?
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Your answer
On a scale of 1 to 10, how would you rate your current ENERGY level?
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1
2
3
4
5
6
7
8
9
10
What brings you the most energy in your life currently?
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Your answer
On a scale of 1 to 10, how would you rate your current stress level?
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1
2
3
4
5
6
7
8
9
10
What is the most challenging obstacle you have had to overcome in your life thus far? How did you overcome it?
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Your answer
What has been your biggest success in your life thus far? How did you achieve it?
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Your answer
What are 3 things that you feel are hindering you from a life with more energy (happiness, fulfillment, feeling motivated, etc)?
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Your answer
What does success look like to you?
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Your answer
What changes would you like to see in your life? What do you feel is hindering you the most from making those changes?
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Your answer
Who are the most important people in your life, and what is your relationship to them?
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Your answer
What do you value most in your life right now?
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Your answer
What previous steps have you already taken to achieve your goals? What has been the result so far, and what have you learned?
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Your answer
Where do you see yourself when this program is over? What do you think it will take to get there?
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Your answer
How committed are you to becoming your higher self?
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0-25%
50%
75%
100%
What excites you about working with Steven Celi?
Your answer
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