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Welcome Dear Awakened One 

I’m so happy you’ve decided to change your life by taking action to complete this application.

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 Please do your best to answer from the heart.

Once submitted, I’ll contact you to schedule a call.

Looking forward to connecting! Xo, Janet

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Phone Number  

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Email

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1) Why are you seeking coaching?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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2) Can you describe your life in three words ? ___________________________________________________________________

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3) What 3 words would describe the life you are dreaming of ?  ___________________________________________________

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4) What is the hardest experience that you feel is standing in your way ?____________________________________________________________________________________________________________________________________________________________________________________________________________________________

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5)Are there specific results you want to see during our time together? _____________________________________________

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6)On a scale of 1-10 How ready are you ready to start? _____________________________________

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7) Anything else I need to know? ______________________________________________________________________________

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