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* 1. Have you hired a business coach in the last twelve months?

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* 2. Have you participated in a Coaching Group in the past twelve months?

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* 3. Rank your level of interest in participating in a coaching group with the following topics. Rank them from 1 to 5, with 1 being the most interested.

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* 4. What type of Business Coaching would you be interested in participating in?

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* 5. If you would like to be entered into the drawing for a complimentary coaching session, please complete the following information.

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