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* 1. Krakauer Coaching would like to confirm your contact Information? (your information will never be shared without permission)

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* 2. Which of these reasons bests captures why you would consider joining a coaching group

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* 3. Which of these issues would you want to work on in a coaching group?

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* 4. What is your preferred time of day? (group meetings will be 2 hours)

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* 5. Would you like to receive further communication about this group?

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* 6. Do you have any other input or questions about the coaching group at this time?

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