Please answer these few questions ...

Congratulations on taking this step towards more happiness and success! I hope we will witness together how this program helps you move consistently forward to joy and success. To get you started on thinking about your life, health, projects and issues, here are ten questions related to your ability to create forward momentum. Your subconscious begins to work as you fill out this form and your answers are the starting point for working together. Take your time...

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* 1. What would you like some help with, if you had a fairy godmother?

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* 2. What causes you stress, or what do you often find yourself worrying about?

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* 3. How often do the following apply to you? (Using a scale from one to five, where 5 = applies always or almost always, and 1 = applies never or almost never)

  5 4 3 2 1
I feel upbeat
I feel capable and competent
My thinking is clear and sharp
I feel stalled with my business or career
I feel I am not fulfilling my potential
I feel dissatisfied with my life just now

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* 4. What aspects of your life would you say are going well?

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* 5. What aspects of your life would you say are going less well?

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* 6. To what extent do the following 6 phrases describe you? (Using a scale from one to five where 5 = describes me very well ... though 1 =  describes me not at all well)

  5 4 3 2 1
Am focused and moving forward with ease on important projects
Sometimes I just can't make myself do something I know I should
Become defensive or angry easily and take things to heart
Procrastinate or miss deadlines
Able to work intensely on a project for long periods of time
Get derailed by emotion (get upset and have trouble getting back to normal)

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* 7. What stands out for you as your biggest accomplishment?

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* 8. What project have you started, or goal you've meant to achieve is your biggest frustration with yourself?

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* 9. What now or in the past have you tried for overcoming issues you identify here? personal or business coaching? hypnosis? energy work? counselling? Please use this space to briefly list or describe current or past help before we meet.

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* 10. Thank you! Two last things: What else I should know before we start? Any further thoughts? And before you submit this form, please initial or provide your name and age. 

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