Harun Rabbani 1-2-1 Consultation Form Client Preparation Questionnaire Thank you for taking part in this questionnaire. I appreciate your openness and transparency. This information is treated with the utmost privacy. Question Title * 1. What is your first and last name? Question Title * 2. Email Address Question Title * 3. Best Daytime Telephone Number Question Title * 4. What is your full time occupation/business role? Question Title * 5. What area(s) of life would you like to work with Harun Rabbani? Business or Career Personal relationship (Life partner or family member) Emotional trauma (past and/or current) Important life or business goal Chronic health issue Other Question Title * 6. How much urgency is there for you in dealing with this issue? Low High Clear i We adjusted the number you entered based on the slider’s scale. Done