Coaching

Background

 
Please share a little information about your background, current situation and goals/objectives desired from working with me. Note: this is entirely confidential. Nobody else will see this.
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1. I found out about this program via:
2. My email address is
3. My name is:
4. Desired Objective: The primary reason you desire coaching is to improve what area of your life?
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5. I have a real, priority goal I'd like to achieve within the next year
6. My Goal is ....
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7. On a scale of 1 -10 my belief that I'm capable of achieving this goal is a ....
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8. On a scale of 1-10 my commitment to achieving this goal in the next year is a....
9. Your current physical health is (scale 1-5, 5 being best)
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10. What has been the greatest highlight of your life so far?
11. What is one of the lowest points of your life (optional- do not have to complete)
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12. What is your greatest talent/ability (from a professional/value standpoint)
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13. What would a best friend or parent brag about when they were talking about you
14. List 3 of your best habits
15. List 3 of your worst habits
16. If i achieve my goal within the next year I will feel...
17. If I do not achieve my goal in the next year I will feel....
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18. The reason I want to join the GET UNSTUCK Program is...
19. I am interested in personalized, executive coaching from Martin and want to learn more.
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