This is a Self-Guided Discovery Questionnaire, much like an actual coaching session.

Please take your time completing this and at the same time - give answers that come to you immediately.  This exercise prompts self-awareness and discovery about unmet needs in your life.  I will review your answers and send you a personalized email response.  The information you submit is strictly confidential and is accepted without judgement.  Thank you for doing this work!

Please share your contact information with me.  I will reply to you with a personalized email response after reviewing your survey answers.

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* 1. Please share your contact information with me.  I will reply to you with a personalized email response after reviewing your survey answers.

Imagine it is 90 days from today and things are dramatically different in ways you are pleased about. What would be different?  What would be happening?

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* 2. Imagine it is 90 days from today and things are dramatically different in ways you are pleased about. What would be different?  What would be happening?

Name three specific goals that you would like to achieve in the next 90 days. What would be the impact on your life when you reach each of these goals?

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* 3. Name three specific goals that you would like to achieve in the next 90 days. What would be the impact on your life when you reach each of these goals?

Which one of the three is realistic, achievable and holds the most power?  How will you know you have been successful?

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* 4. Which one of the three is realistic, achievable and holds the most power?  How will you know you have been successful?

When (or how) have you successfully changed an aspect of your life in the past?

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* 5. When (or how) have you successfully changed an aspect of your life in the past?

How confident are you in your ability to successfully make the changes you desire today?

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* 6. How confident are you in your ability to successfully make the changes you desire today?

What single factor could keep you from reaching your goal?

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* 7. What single factor could keep you from reaching your goal?

What inner strengths, resources and support system do you have in place to help you achieve your goals?

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* 8. What inner strengths, resources and support system do you have in place to help you achieve your goals?

If you could do anything to make this change a reality in your life, what would it be?

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* 9. If you could do anything to make this change a reality in your life, what would it be?

Which option is realistic and feels like the best next step?

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* 10. Which option is realistic and feels like the best next step?

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