It is my deepest desire and mission to serve you. We are looking for a fit. This is your opportunity to close the gap between where you are and where you want to be.

In order to maximize the value you can receive from our session, please answer these questions as honestly and open-heartedly as possible. All information is strictly confidential.

After you have finished the application, please feel free to learn more about my products, services, and keynotes at: www.coachfelicia.com

Please complete the following:

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* 1. Please complete the following:

What problem are you looking to solve by speaking with Coach Felicia?

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* 2. What problem are you looking to solve by speaking with Coach Felicia?

What is your biggest challenge regarding self-worth, stress, or self-doubt?

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* 3. What is your biggest challenge regarding self-worth, stress, or self-doubt?

On a scale 1(lowest) to 10 (highest) what is your commitment level to invest the time, money, and intimate self-reflectivity to turn your worth into wealth?

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* 4. On a scale 1(lowest) to 10 (highest) what is your commitment level to invest the time, money, and intimate self-reflectivity to turn your worth into wealth?

How is your current relationship with yourself, stress, or self-doubt impacting your productivity as well as your effectiveness with others?

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* 5. How is your current relationship with yourself, stress, or self-doubt impacting your productivity as well as your effectiveness with others?

How is your self-worth, stress, or self-doubt impacting your income, revenue, salary, or earning potential?

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* 6. How is your self-worth, stress, or self-doubt impacting your income, revenue, salary, or earning potential?

What was your gross income, revenue, or salary in 2013?

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* 7. What was your gross income, revenue, or salary in 2013?

What are your personal and/or professional goals with regard to your self-worthm?

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* 8. What are your personal and/or professional goals with regard to your self-worthm?

What would you like to be acknowledged for that you have not been acknowledged for?

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* 9. What would you like to be acknowledged for that you have not been acknowledged for?

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