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* 1. What is your first and last name

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* 2. What is your email address

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* 3. What type of service are you requiring

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* 4. What is the status of your career or business

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* 5. What is your current salary

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* 6. What is your budget for private coaching? 

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* 7. How committed are you to building a successful work/life balanced life?

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* 8. What ONE word do you think best describes YOU

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* 9. Briefly describe your product, service, business or job responsibilities

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* 10. How did you find me??

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* 11. Website, FB, IG or LinkedIn: please post how I can see you!

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* 12. Do you know what is blocking you from getting to the next step in your life?

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* 13. How would you best describe your work/life balance

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* 14. Please describe your personal responsibilities- Married? Kids? Aging parents? 

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* 15. Describe your version of  the perfect day both (both work life and personal life)

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* 16. What is the best way to reach you?

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* 17. If by phone, please post the best number to reach you at, so we can arrange a call to see if this is a good fit for you! 

0 of 17 answered
 

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