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* 1. Tell me about yourself...

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* 2. Rank in order, with # 1 being the most important thing in your life:

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* 3. Describe your relationship to your body:

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* 4. Rate your level of confidence, with 5 hearts being the most confident.

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* 5. What self-improvement tools or practices have you used or tried up to this point? What has worked and what has not worked? Why do you think that is?

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* 6. What is your biggest daily obstacle or challenge?

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* 7. What is your ideal vision for yourself in the next 6 -12 months?

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* 8. Rate your level of happiness on the smile scale, with 5 smiles being the most happy.

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* 9. Rate your desire/commitment to change, with 5 stars being the highest.

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* 10. On a scale of 1 - 10, how ready are you invest and do the work with 10 being the highest?

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 11. Why do you believe working with a coach will help you at this point in your life?

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