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Step 1: Answer 5 out of the 16 questions below. Step 2: Fill out your information. Step 3: Click submit.
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Answer only 5 of the 16 following questions.
What really, REALLY bothers you? (I.e. in the world, in your family, in your school. in your family, in your behavior, etc.)
Your answer
What's one item you can't live without and why?
Your answer
When do you feel most confident?
Your answer
When do you feel at peace?
Your answer
Describe a peak experience. (When everything in life was just what you wanted it to be and everything was right.)
Your answer
What are your top 5 values? (If you don't know, and want to know, you can tell me that.)
Your answer
What area of your life do you want the most change?
Your answer
If you had a magic remote control that controlled your life and the people around you, what would you do with it?
Your answer
What super power would you choose if you could only have one?
Your answer
What would it feel like to really be listened to?
Your answer
When was the last time you truly felt happy?
Your answer
What does success look like to you?
Your answer
What scares you?
Your answer
What do you love most about your favorite drink or dessert?
Your answer
How do you want people to perceive you?
Your answer
How do you think people perceive you now?
Your answer
Office Section
This is the part where I collect information for you as a client. I promise to keep your information private and confidential. These are administrative essentials. Thank you.
Your full name
*
Your answer
Your mobile number
*
Your answer
Is it ok for me to text you about coaching themes, appointments, details and send reminders?
*
Yes
No
Not applicable
Other:
Your best email address
*
Your answer
Is it ok for me to put you on my email list?
*
Yes
No
Other:
Cost and payment details
Minimum of six (6) sessions, in addition to an initial discovery session. The initial discovery session is $0 and the fee for the subsequent coaching sessions is $120 per session. Your client enrollment fee of $0 is due by the date of your discovery session. Your coaching session fees will be due by the date of each session. (You will receive digital invoices via email that can be paid online. You may pay through check if needed.)
Who will be paying for your coaching? (If it is not you, they will need to be a part of the paperwork process in the next step.)
*
Your answer
Do you have any questions for me?
Your answer
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