READINESS QUESTIONNAIRE FOR CREATING AN IDEAL LIFE

Ready to get real and go after the life you want?

This is your chance to reveal your readiness to create your ideal future.

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* 1. Describe your current state of emotion in 3 words; in other words, name the emotions that describe how you feel about yourself or your life today.

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* 2. Choose the area of focus you'd MOST like to overcome and master (even if there are multiple areas).

Health: Look better, feel better, move better. I need a plan to meet my needs as I am without having to eat less and exercise more for the rest of my life.

Wealth: Attract more abundance, affluence, income opportunities and financial freedom to increase the fun in my life and reduce stress.

Love: Attract a healthy and lasting love interest into my life that will allow me to share my love freely and one who will uplift and contribute happiness to our lives as a couple.

Self-Esteem: To feel worthy, lovable and confident so I can find my voice, install healthy boundaries for absolute clarity and use my personal power to be the creator of my future reality.

Career Path/Industry Influencer: To reinvent myself, follow my dream as an entrepreneur, change careers, become a speaker/writer/influencer, and to step outside of the box that holds trepidation for me.

Other (please specify)

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* 3. Describe in detail your circumstances that have brought you to this place of wanting more satisfaction in this specific area of your life?

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* 4. Describe in detail who will you become or what you will then be able to do if your chosen area of focus is overcome and mastered?

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* 5. How much time do you have per week to dedicate to the development of yourself in order to accomplish your goals?

1-2 hours available

More than 3 hours available

I need help clearing my schedule to make time for my personal growth and development.

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* 6. Which area do you hope your influence will be most impactful as you become a deliberate creator of a life more suited to your desires and goals?

Career/Industry

Family/Children

Women Specifically

Your Legacy/Leadership/Example

Self-Esteem/Worth

Your Personal Potential and Expansion

Other (please specify)

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* 7. How much trust do you have in yourself to finish what you start when it comes to big personal goals?

1% - I NEVER finish what I start

50% - I seem to only do things half way

100% I ALWAYS finish what I start

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. How ready are you to rid yourself of debilitating beliefs, negative emotions, and self-limiting habits in order to realize the greatest desires of your heart?

1% Ready.

50% Ready?

100% Ready!

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 9. Unsuccessful attempts in the past to find sustainable solutions have lead you to believe you need a professional coach to guide you, hold you accountable and show you the easiest pathway to the life you desire most.

Agree

Disagree

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* 10. I would like to request a FREE CONSULTATION with Coach Teresa Ford to discuss the most effective path to achieving my goals. My Name, email and phone number are: