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Services
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(561) 331-1765
Questionnaire – Coaching
70%
Do you feel stuck in your career?
YES
NO
90%
Do you struggle with weight loss and eating habits?
YES
NO
Name
Email
Phone
Are you struggling with anxiety or stress?
Yes
No
Would you call yourself a person who mostly “makes sense” but still struggles in some areas?
Yes
No
What do you already know about what you need/have to do?
How would a good friend describe what you are like?
What area(s) of life would you like to improve?
How open are you to have at least one hour per week committed to a session and being challenged to make necessary progress?
When would you like to start?
Submit