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1. Name (First and Last)

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2. Phone number

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3. Email

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4. In which area of your life do you want to increase your joy capacity the most?

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5. What does “abundant life” look like for you in this area (i.e., in the present and the future)?

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6. Fill in the blank: “_________” is the greatest source of joy, appreciation, and gratitude in my life.

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7. Fill in the blank: “_________” is the greatest source of fear, anger, sadness, shame, disgust or despair in my life.

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8. Which of the following best describes your age and stage of life? (Check all that apply)

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9. In the past 18 months, where have you invested your time, energy or financial resources to help you increase your joy capacity? (Check all that apply)

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10. How did you find out about J.A.M. Session™ coaching?

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