🎉 Congratulations on taking this first step!
Committing to this 30-minute breakthrough session could be the most powerful decision you've made for yourself in a while.
I'm looking forward to delivering results during our time together.
The purpose of this questionnaire is to provide me with context about you and your current situation so that our time is the most effective it can be.
You'll breeze through this form in less than 5 minutes. Answer to the best of your current knowledge, and rest assured, it's all completely confidential.
Thank you in advance!
What's your occupation?
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What's going WELL in your life right now?
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What could be even better — what challenges do you face or want to improve in your life?
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On a Scale of 1-10, what is your level of satisfaction with these seven different areas of your life?
1. Health/Energy/Vitality
What's your daily energy level?
(1: I’m extremely exhausted consistently; 10: I’m highly energetic consistently)
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2. Emotions and Mindset
How satisfied are you managing your emotions and mindset?
(1: Terrible–my emotions and mind control me; 10: I can instantly reprogram my mind to be optimistic)
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3. Relationships
How satisfied are you in your relationships (with friends & family, romantic, co-workers, self)?
(1: I'm lonely every day; 10: I cherish having loving relationships all around)
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4. Fun and Play
How satisfied are you in having fun and play in your daily life?
(1: I don't even know what fun and play mean; 10: I incorporate fun and play daily!)
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5. Career
How satisfied are you in your career?
(1: I absolutely hate my job; 10: I feel fulfilled and aligned in my career)
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6. Time
How satisfied are you in managing your time?
(1: I’m a complete mess–always distracted and procrastinate; 10: I'm very intentional with my time–extremely efficient, focused, and also incorporate rest)
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7. Growth & Contribution
How satisfied are you with your personal growth and contribution to others?
(1: I feel stagnant and disconnected from contributing to others; 10: I'm consistently growing and actively making meaningful contributions to those around me)
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If you were to focus on improving one of these seven areas of your life in the next three to six months, which one would you choose and why?
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How did you first hear about me?
(Met in person / Referral / LinkedIn / Instagram / Website / Other-Please specify)
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I APPRECIATE YOUR TIME FILLING OUT THE FORM.
Super excited to help you take that first big step towards your goal. Speak soon! 🧡
