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Introduce yourself

First Name*

Last Name*

Date of Birth*

Nationality*

Country*

Email Address*

Phone Number*

Investment Level*

What are your top 3 challenges?

Challenge 1*

Challenge 2

Challenge 3

What does success look like?

If you could achieve just one thing in the next 6 months, what would it be and why is this important to you?*

If you were to be coached by me, what does success look like for you one year from now?*

What emotions would you like to feel less of and which ones do you want to feel more of?*

Tell me a bit more about you

How would your friends describe you?*

What are you most proud of achieving in your life to date and why does this matter so much to you?*

What, if anything, do you see as your life's purpose as being?*

Final Questions

From what you have read / seen, what appeals to you most about working with me?*

Have you worked with a coach or therapist before? If so, how was that?*

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