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Type of Session
Life Coaching Session
FREE Clarity Session
Date
Time (PST)
12:00 pm
4:00 pm
8:00 pm
Full Name
Phone Number
Email
What are area of life that you would you like to focus on creating change
Business
Relationships
Personal Habits
Stress Relief
Healing Trauma
Other:
Do you currently have a business?
Yes, and I have a small business that I would like to grow.
No, I have an idea but I have not started yet.
No, and I don't want to have my own business.
Other:
Briefly describe the biggest challenge that you are currently struggling with What is your biggest recurring complaint?
If you could have anything you wanted in the next year, what would that be? Describe what life will look like when you have achieved this big dream? What will you be saying to yourself? What will you be seeing, hearing, and feeling as you have these changes?
What will your life look like one year from now if you DO NOT make any changes?
What other programs, coaches, courses, or books have you invested in before this to change this area of life?
On a scale of 1 to 10, how motivated are you to invest in learning tools that will empower you to now have these changes in your life?
1
2
3
4
5
6
7
8
9
10
Is there any downside to getting what you want? Why is NOW the time to make changes in your life?
Do you believe in a higher power? Are you a part of a church or group of people who share similar beliefs and values?
Yes
No
Maybe
Do you have any questions for me?
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