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"For I am confident that He who began a good work in you will bring it to completion” Phil 1:6

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* 1. Address

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* 2. Which of the following best describes you?

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* 3. As you read each question, listen to your intuition. Rank each statement from 1-2 (low) 3-4 (moderately) 5 (high). Does it ring true for you and affirm your sense of readiness? Or does it create doubt and discomfort? The more the statement seems true about you, the more likely you are to experience success with coaching.

  1 2 3 4 5
I am genuinely wanting to move towards my dreams and goals.
I can commit to being on time for coaching sessions.
I am open to self-examination, growth and learning in a supportive and positive environment.
I am willing to accept coaching to achieve desired results.
I am open to trying on new ideas and different ways of doing things.
I am willing to be held accountable and be challenged by my coach to realize my goals.

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* 4. What coaching package are you interested in?

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* 5. I would like to be contacted

Thank You! for taking the time to complete this assessment.

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