Melanie Klein Private Coaching Application Tell me about yourself... Question Title * 1. Tell me about yourself... Your First and Last Name Your Occupation Your Best Email Address Your Best Phone Number OK Rank in order, with # 1 being the most important thing in your life: Question Title * 2. Rank in order, with # 1 being the most important thing in your life: 1 2 3 4 5 6 Family/Partner 1 2 3 4 5 6 Self-care + personal growth 1 2 3 4 5 6 Business/work 1 2 3 4 5 6 Health 1 2 3 4 5 6 Spiritual Growth 1 2 3 4 5 6 Travel + adventure OK Describe your relationship to your body: Question Title * 3. Describe your relationship to your body: OK Rate your level of confidence, with 5 hearts being the most confident. Question Title * 4. Rate your level of confidence, with 5 hearts being the most confident. OK 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? Question Title * 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? OK What is your biggest daily obstacle or challenge? Question Title * 6. What is your biggest daily obstacle or challenge? OK What is your ideal vision for yourself in the 6 -12 months? Question Title * 7. What is your ideal vision for yourself in the 6 -12 months? OK Rate your level of happiness on the smile scale, with 5 smiles being the most happy. Question Title * 8. Rate your level of happiness on the smile scale, with 5 smiles being the most happy. OK Rate your desire/commitment to change, with 5 stars being the highest. Question Title * 9. Rate your desire/commitment to change, with 5 stars being the highest. OK Why do you believe working with a coach will help you at this point in your life? Question Title * 10. Why do you believe working with a coach will help you at this point in your life? OK DONE