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Name *

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Date of Birth (DD/MM/YYYY) *

Email *

Location (City & Country) *

What are your biggest challenges right now? *

Have you ever worked with a coach before?

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If "Yes," what was your experience like?

What are the top 3 things you want to change or improve in your life? *

On a scale from 1 to 10, how committed are you to making a change?

Selected Value: 1

10 Being "Never been more ready!"

What has stopped you from achieving your goals so far? *

Why do you feel now is the right time to work with a coach? *

Are you open to shifting your mindset and trying new strategies? *

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Are you willing to take action even when it feels uncomfortable? *

• Yes
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What does success look like for you? *

If we could achieve one major breakthrough together, what would it be? *

Are you willing to invest time, energy, and resources into your growth? *

• Yes
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Do you have the financial ability to invest in coaching right now? *

• Yes
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If selected, are you ready to start within the next 30 days? *

• Yes!
• No

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Do you have any questions for me before we get started? *

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