Coaching Application 2018

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* 1. What is your full name, email address and website address?

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* 2. How did you find me?

Networking event

Web Search

Referral

Website/blog

Facebook

Opportunity

I heard you speak

Other (please specify)

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* 3. What are your top 3 pain points in your business?

I get overwhelmed and don't know what to focus on.

I want to go big, but feel afraid.

I am working so hard, I've stopped enjoying my work.

I don't feel inspired about my purpose and mission.

There's too much going on, and the chaos kills my inner peace.

I don't know how to create good clients.

I am tired of doing everything myself, instead of just living in my genius.

I'm not making enough Money.

I don't believe I deserve to make more Money.

I don't know how to make more Money.

I've created a lot of success, and don't know how to handle it.

I've scaled my business, but some of the foundational organization is missing.

Other (please specify)

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* 4. What are three things you fear will happen if you don't resolve these issues?

I will stay so busy, I won't have time for my clients, and will lose clients.

I will continue overworking and my life will feel unfulfilled.

My health will be impacted negatively.

I will not make enough income, and will have to get a job.

I will disappoint myself.

I will disappoint my family members.

I will never find the courage to use my voice + share my message, and my leadership will never fully help the world.

I will never get to live the dreams which a healthy income would afford.

I won't have systems to handle and manage my success, and my biz will fall apart.

Other (please specify)

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* 5. What have you tried in the past to resolve your problems?

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* 6. What is your current income?

Under $50, 000

Between $50, 000 and $100, 000

Between $100, 000 and $200, 000

Over $200, 000

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* 7. How much help would you like from me in the following areas?

	No help				Lots of Help
Creating an aligned business plan, so I can take my biz (or career) to the next level	Creating an aligned business plan, so I can take my biz (or career) to the next level No help	Creating an aligned business plan, so I can take my biz (or career) to the next level	Creating an aligned business plan, so I can take my biz (or career) to the next level	Creating an aligned business plan, so I can take my biz (or career) to the next level	Creating an aligned business plan, so I can take my biz (or career) to the next level Lots of Help
Feeling more confident and empowered so I can step into leadership and earn more	Feeling more confident and empowered so I can step into leadership and earn more No help	Feeling more confident and empowered so I can step into leadership and earn more	Feeling more confident and empowered so I can step into leadership and earn more	Feeling more confident and empowered so I can step into leadership and earn more	Feeling more confident and empowered so I can step into leadership and earn more Lots of Help
Developing my biz mission, company culture and business team	Developing my biz mission, company culture and business team No help	Developing my biz mission, company culture and business team	Developing my biz mission, company culture and business team	Developing my biz mission, company culture and business team	Developing my biz mission, company culture and business team Lots of Help
Creating more clients	Creating more clients No help	Creating more clients	Creating more clients	Creating more clients	Creating more clients Lots of Help
Refining my client creation process	Refining my client creation process No help	Refining my client creation process	Refining my client creation process	Refining my client creation process	Refining my client creation process Lots of Help
Refining my signature business offerings	Refining my signature business offerings No help	Refining my signature business offerings	Refining my signature business offerings	Refining my signature business offerings	Refining my signature business offerings Lots of Help
Receiving support & encouragement	Receiving support & encouragement No help	Receiving support & encouragement	Receiving support & encouragement	Receiving support & encouragement	Receiving support & encouragement Lots of Help
Creating a more positive, healthy, fun relationship with Money	Creating a more positive, healthy, fun relationship with Money No help	Creating a more positive, healthy, fun relationship with Money	Creating a more positive, healthy, fun relationship with Money	Creating a more positive, healthy, fun relationship with Money	Creating a more positive, healthy, fun relationship with Money Lots of Help
Standing in my value, and charging what I'm worth	Standing in my value, and charging what I'm worth No help	Standing in my value, and charging what I'm worth	Standing in my value, and charging what I'm worth	Standing in my value, and charging what I'm worth	Standing in my value, and charging what I'm worth Lots of Help
Opening up to receiving more Money	Opening up to receiving more Money No help	Opening up to receiving more Money	Opening up to receiving more Money	Opening up to receiving more Money	Opening up to receiving more Money Lots of Help
Taking better care of my Money	Taking better care of my Money No help	Taking better care of my Money	Taking better care of my Money	Taking better care of my Money	Taking better care of my Money Lots of Help
Increasing my income	Increasing my income No help	Increasing my income	Increasing my income	Increasing my income	Increasing my income Lots of Help
Removing the hidden blocks that are keeping me from making more Money	Removing the hidden blocks that are keeping me from making more Money No help	Removing the hidden blocks that are keeping me from making more Money	Removing the hidden blocks that are keeping me from making more Money	Removing the hidden blocks that are keeping me from making more Money	Removing the hidden blocks that are keeping me from making more Money Lots of Help
Training for my staff	Training for my staff No help	Training for my staff	Training for my staff	Training for my staff	Training for my staff Lots of Help

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* 8. On a scale of 1 to 5, how committed are you to do whatever it takes to make your business and/or professional dreams come true and improve your relationship with Money?

Coaching Application 2018

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* 1. What is your full name, email address and website address?

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* 2. How did you find me?

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* 3. What are your top 3 pain points in your business?

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* 4. What are three things you fear will happen if you don't resolve these issues?

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* 5. What have you tried in the past to resolve your problems?

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* 6. What is your current income?

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* 7. How much help would you like from me in the following areas?

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* 8. On a scale of 1 to 5, how committed are you to do whatever it takes to make your business and/or professional dreams come true and improve your relationship with Money?

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* 9. Are you ready to invest emotionally and financially in coaching?

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* 10. Where would you like your business to be in the next 6 months? 12 months?