Pre-Consult Questionnaire
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Pre-Consult Questionnaire
Please complete the following questionnaire as the first step to
scheduling your free consult. By answering these questions, you will gain a better understanding of what working wit me is like, and I will be better prepared to make the most of your consultation time. 1. On a scale of 1 to 5, how happy are you with your life at this moment?
2. On a scale of 1 to 5, how happy are you with these specific areas of your life?
3. What has been holding you back from trusting yourself and making decisive, powerful decisions in your life? (You may choose more than one item)
4. Do you feel you have unique gifts and talents to share with the world?
5. If you answered yes, do you feel that you’re sharing your unique gifts and talents as much as you’d like to be?
6. What do you see as the biggest obstacles keeping you from sharing your gifts and talents as much as you’d like to?
7. How many hours a week do you spend doing things that you don’t enjoy?
8. Are you ready to making the necessary changes to create more success, joy and meaning in your life?
9. Have you ever invested in training and/or coaching to make improvements in your life?
10. What would you most like to get out of your time with me?
Thank you for completing this questionnaire. The next step is to choose a time for an appointment with me that
fits your schedule. When you click the green button below, the next page will be an online scheduler where you can select a time for your free consult. Here’s to living your life on purpose! You will also receive our complementary gift of my monthly newsletter. Your information will not be shared in anyway. After viewing a few of our newsletters, you may easily unsubscribe if you wish to.
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I had a near death enierpexce when I was 17 yrs old that profoundly changed my outlook on life. Celebrate the the vicories and defeats, but most importantly, we must remember to laugh along the way!