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* 1. What is your name?

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* 2. What email can I connect with you?

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* 3. Can you share your phone number?

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* 4. I would love to see your LinkedIn Profile. Can you share the link?

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* 5. How would you describe who you are, in the core of your DNA, in one word?

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* 6. How do you define success for your self?

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* 7. Your coachees put three words on your tombstone. What are those three words?

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* 8. How many hours of coaching do you have?

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* 9. Do you have any coaching certifications?

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* 10. How would you describe your coaching approach?

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* 11. On a scale of 1 to 10, how would you rate your self on 'Being Confident'?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 12. On a scale of 1 to 10, how would you rate your self on 'Being Weird'?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 13. On a scale of 1 to 10, how would you rate your self on 'Being Aware'?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 14. On a scale of 1 to 10, how would you rate your self on 'Being Empathetic'?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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