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New Client Questionnaire
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Name
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First
Last
Email
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Preferred Method(s) of Communication (phone, email and/or Skype?)
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Phone Number(s), Skype Name if applicable, and best days / times to call:
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1. What is your Big Dream/Vision?
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2. What stands between you and this Big Dream/Vision?
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3. What crisis are you in NOW?
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4. What results are you looking for from the coaching process?
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5a) From the "WHEEL OF LIFE" -- On a scale of 1-10 (low to high), how would you rate your level of satisfaction in the area of Health and Fitness?
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5b). Recreation and Fun?
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5c). Spirituality
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5d). Creativity
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5e). Primary Relationship
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5f). Family
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5g). Social and Friendships
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5h). Money Management
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5i). Business and Career
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5j). Income Now
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5k). Growth and Learning
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6. What area(s) do you want to focus on?
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7. What is your current occupation(s)?
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8. What are you most proud of accomplishing to this point in your life OR what is the most difficult experience you have overcome?
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9. Your Mission: What type of change would you like to create in the world with your life?
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10. Your Passion: If you had enough money to cover your bills every month, what would you do to contribute as your gifts to the world?
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11. Your Issue: What single issue drains your energy most; (what would most dramatically change your quality of life if you woke up and this was perfect)?
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12. Education/Business Background: What education, professional courses and/or experience do you value most?
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13. Spiritual Background: What training, study, practice and/or experiences have been most life-giving for you?
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14. Are you committed to doing your "inner homework" between coaching sessions?
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15. What else do I need to know about you—your preferences, learning style, communication style, sensitivities, etc?
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BONUS QUESTION: What are your favorite musical instruments, sounds or style(s) of music?
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Your questions or comments:
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