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Rebel Neycha | REBEL YOU™ Inquiry
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1.
What is your name?
(Required.)
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2.
Have you or are you currently engaging in a counseling, coaching or therapeutic process? And if so, for how long?
(Required.)
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3.
How well do you generally respond to constructive criticism?
(Required.)
Pretty darn well!
Getting better, I'm a work in progress.
Not super well, not my cup of tea.
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4.
How well do you generally respond to being pushed beyond your comfort zone?
(Required.)
That's my 'ish! Let's go!
Might hiss, but I appreciate it.
Don't push me, my attitude will turn up to ten!
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5.
If you were to be wholeheartedly honest with yourself, what area of your life have you been most afraid to take action and foster change?
(Required.)
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6.
A fearless you would be different in what way?
(Required.)
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7.
What single act of courage do you believe would have the greatest impact on improving your life right now?
(Required.)
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8.
How ready do you feel to quit what's not working in your life and take a leap of faith?
(Required.)
Terrified.
Hesitant.
Ready.
Been ready, let's go!
Terrified.
Hesitant.
Ready.
Been ready, let's go!
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9.
How soon are you hoping to schedule a free consultation?
(Required.)
Within the next 72 hours!
Within the next week.
Within the next 30 days.
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10.
What is your email address?
(Required.)