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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.

 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

Name

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Phone Number  

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Email

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1) Why are you seeking coaching?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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

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

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

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? _____________________________________

7) Anything else I need to know? ______________________________________________________________________________

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