Here are just a few questions to help you decide.

This survey will also help the website owner tailor programs to suit the people who visit the site

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* 1. My age is:

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* 2. My gender is:

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* 3. How positive do you feel about your future at this time?

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* 4. What would you like to change about yourself or your life in the next 3 months?

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* 5. How confident do you feel that you could make these changes without coaching?

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* 6. In what way do you want coaching to help you make these changes? Please choose 4.

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* 7. What would make coaching successful for you?

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* 8. What long-term changes do you want to work towards?

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* 9. Contact information (It will NOT be shared!)

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* 10. How did you hear about us?

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