TCCS Snaphot Survey Question Title * 1. Please enter your Name, Phone Number, email address. *(I will require this information to contact you for your FREE Strategy Session) Name Phone Best Time to Contact You (Incl Time Zone) Primary email Question Title * 2. Have you experienced Anxiety in the past 3 weeks? Yes No Question Title * 3. Do you have a negative "Little Voice" in your mind that you can't seem to quiet? Yes No Sometimes Question Title * 4. Do you feel unfulfilled or empty, even after accomplishing something? Yes No Sometimes Question Title * 5. Do you tend to help others before you help yourself? Yes No Question Title * 6. Do you have difficulty accepting compliments from people? Yes No Question Title * 7. Are you... (pick one) Employed Business Owner/Self Employed Unemployed Question Title * 8. Are you... (pick one) Single In a Relationship Divorced/Separated Question Title * 9. Have you experienced Coaching or Counselling before? Yes No Question Title * 10. Imagine there is nothing limiting you. You have the money, talent and opportunity to do whatever you want. What would that be? Done