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1. Default Section

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1. On a scale from 1 to 10, rate each of the following statements:
1 being Totally Disagree
5 being Not Sure
10 being Totally Agree

	1	2	3	4	5	6	7	8	9	10
I am ready to create more balance in my life.	*On a scale from 1 to 10, rate each of the following statements: 1 being Totally Disagree 5 being Not Sure 10 being Totally Agree I am ready to create more balance in my life. 1	I am ready to create more balance in my life. 2	I am ready to create more balance in my life. 3	I am ready to create more balance in my life. 4	I am ready to create more balance in my life. 5	I am ready to create more balance in my life. 6	I am ready to create more balance in my life. 7	I am ready to create more balance in my life. 8	I am ready to create more balance in my life. 9	I am ready to create more balance in my life. 10
I am ready to improve my relationships.	I am ready to improve my relationships. 1	I am ready to improve my relationships. 2	I am ready to improve my relationships. 3	I am ready to improve my relationships. 4	I am ready to improve my relationships. 5	I am ready to improve my relationships. 6	I am ready to improve my relationships. 7	I am ready to improve my relationships. 8	I am ready to improve my relationships. 9	I am ready to improve my relationships. 10
I am ready to make real and positive changes in my life.	I am ready to make real and positive changes in my life. 1	I am ready to make real and positive changes in my life. 2	I am ready to make real and positive changes in my life. 3	I am ready to make real and positive changes in my life. 4	I am ready to make real and positive changes in my life. 5	I am ready to make real and positive changes in my life. 6	I am ready to make real and positive changes in my life. 7	I am ready to make real and positive changes in my life. 8	I am ready to make real and positive changes in my life. 9	I am ready to make real and positive changes in my life. 10
I am ready to find and live my life's purpose.	I am ready to find and live my life's purpose. 1	I am ready to find and live my life's purpose. 2	I am ready to find and live my life's purpose. 3	I am ready to find and live my life's purpose. 4	I am ready to find and live my life's purpose. 5	I am ready to find and live my life's purpose. 6	I am ready to find and live my life's purpose. 7	I am ready to find and live my life's purpose. 8	I am ready to find and live my life's purpose. 9	I am ready to find and live my life's purpose. 10
I am ready and willing to overcome self-limiting beliefs and behavior.	I am ready and willing to overcome self-limiting beliefs and behavior. 1	I am ready and willing to overcome self-limiting beliefs and behavior. 2	I am ready and willing to overcome self-limiting beliefs and behavior. 3	I am ready and willing to overcome self-limiting beliefs and behavior. 4	I am ready and willing to overcome self-limiting beliefs and behavior. 5	I am ready and willing to overcome self-limiting beliefs and behavior. 6	I am ready and willing to overcome self-limiting beliefs and behavior. 7	I am ready and willing to overcome self-limiting beliefs and behavior. 8	I am ready and willing to overcome self-limiting beliefs and behavior. 9	I am ready and willing to overcome self-limiting beliefs and behavior. 10
I am ready to create plans and take action to achieve my goals.	I am ready to create plans and take action to achieve my goals. 1	I am ready to create plans and take action to achieve my goals. 2	I am ready to create plans and take action to achieve my goals. 3	I am ready to create plans and take action to achieve my goals. 4	I am ready to create plans and take action to achieve my goals. 5	I am ready to create plans and take action to achieve my goals. 6	I am ready to create plans and take action to achieve my goals. 7	I am ready to create plans and take action to achieve my goals. 8	I am ready to create plans and take action to achieve my goals. 9	I am ready to create plans and take action to achieve my goals. 10
I am ready for more fun and enjoyment in my life.	I am ready for more fun and enjoyment in my life. 1	I am ready for more fun and enjoyment in my life. 2	I am ready for more fun and enjoyment in my life. 3	I am ready for more fun and enjoyment in my life. 4	I am ready for more fun and enjoyment in my life. 5	I am ready for more fun and enjoyment in my life. 6	I am ready for more fun and enjoyment in my life. 7	I am ready for more fun and enjoyment in my life. 8	I am ready for more fun and enjoyment in my life. 9	I am ready for more fun and enjoyment in my life. 10
I can benefit from someone who will help me to stay on track.	I can benefit from someone who will help me to stay on track. 1	I can benefit from someone who will help me to stay on track. 2	I can benefit from someone who will help me to stay on track. 3	I can benefit from someone who will help me to stay on track. 4	I can benefit from someone who will help me to stay on track. 5	I can benefit from someone who will help me to stay on track. 6	I can benefit from someone who will help me to stay on track. 7	I can benefit from someone who will help me to stay on track. 8	I can benefit from someone who will help me to stay on track. 9	I can benefit from someone who will help me to stay on track. 10

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2. Please provide your contact information and we will contact you right away to review your results!

If coaching is not right for you right now, then we will let you know and see if there is any way we can assist you further.

If coaching IS right for you, you will be able to sign up for a FREE session to find out if you are a match for us at Art of Relationship Coaching or we can refer you to another coach who is a better fit!

Thanks!

Please provide your contact information and we will contact you right away to review your results! If coaching is not right for you right now, then we will let you know and see if there is any way we can assist you further. If coaching IS right for you, you will be able to sign up for a FREE session to find out if you are a match for us at Art of Relationship Coaching or we can refer you to another coach who is a better fit! Thanks! Name:
State:
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