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Group Coaching Questionnaire 2021
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1.
Please provide me with your contact information.
(Required.)
Name
Country
Email Address
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2.
Please tell me a little bit about yourself and why you are interested in working with me.
(Required.)
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3.
What 3-5 areas are you currently struggling?
(Required.)
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4.
Have you previously worked with a coach?
(Required.)
Yes
No
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5.
What do you feel you need most right now?
(Required.)
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6.
What would you like your life to look like in the next 6-12 months?
(Required.)
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7.
Why is now the time to take action? What will your life look like if you don't take action?
(Required.)
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8.
On a scale of 1-10, how motivated are you to working with a coach? (1 being the least, 10 being fully-committed)
(Required.)
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9.
If we decide it's a great fit are you ready to invest in 3-months of group coaching (choose which is the best choice for you):
(Required.)
One-time payment of $1,497
3-monthly payments of $525
not sure yet
10.
Please provide any additional information you would like to share before submitting your application.
