Congratulations on taking this first step! Welcome! This form is designed to help you get clarity on where you are, what’s holding you back, and where you want to go. Your answers will also help determine if we’re the right fit to work together. Please be as honest and detailed as possible.
SECTION 1: YOUR CURRENT REALITY
1. client, what is the biggest challenge you are currently facing in your personal and/or professional life?
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2. How are these challenges affecting other areas of your life?
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3. On a scale of 1-10, how much is this problem costing you in terms of stress, lost opportunities, and overall fulfillment? (1 = Not much, 10 = It’s ruining everything)
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4. If nothing changes, where do you see yourself in 6-12 months?
SECTION 2: WHAT YOU'VE TRIED
5. What have you already tried to solve this challenge?
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6. What worked, even if only temporarily?
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7. What didn’t work, and why do you think it failed?
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SECTION 3: YOUR IDEAL TRANSFORMATION
8. If we could fast-forward 3 months and your challenges were solved, what would your life look like?
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9. What is the most important outcome you want to achieve from working together?
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SECTION 4: COMMITMENT & READINESS
10. On a scale of 1-10, how committed are you to making real changes?
(1 = Just exploring, 10 = I’ll do whatever it takes)
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11. What do you think has been holding you back from making these changes on your own?
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12. Why is NOW the right time for you to do this work?
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SECTION 5: INVESTMENT & MINDSET
13. Making a lasting transformation requires time, energy, and financial investment. If we both agree this is the right fit, are you prepared to invest in yourself at a premium level?
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14. What is your current mindset when it comes to investing in personal growth and transformation?
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15. What would it cost you—emotionally, financially, and in your relationships—to stay stuck where you are? How much longer are you willing to pay that price?
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{"type":"textarea","name":"__generic16","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":40,"placeholder":"Financially"}
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FINAL STEP
16. If we decide to move forward, how soon are you looking to start?
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17. Is there anything else you’d like me to know before our call?
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Next Steps:
Thank you for taking the time to fill this out—I appreciate your honesty and openness. We will go over your responses in detail during our scheduled conversation. Our call will take place on Google Meet (Please make sure you have this installed on your phone or computer). A link will be sent prior to our scheduled time via email. This will be an opportunity for us to dive deeper into your challenges, goals, and whether this program is the right fit for you. If for any reason I feel that another approach would serve you better, I’ll be upfront about that. My goal is to help you move forward in the best way possible. Looking forward to our conversation, client!
- Coach Wolverine
