Pre-Discovery Call Questionnaire

"*" indicates required fields

Name*

First Last

Email*

Phone*

Your Profession

1) Where are you right now in regards to your health and well-being? What are your biggest frustrations at this time?

2) Why did you request this session?

3) How would you like your circumstances to change? What sort of results would you like to achieve?

4) Why is it important and essential to achieve your health goals?

5) What is your biggest challenge right now, that you want to overcome to achieve your stated goals?

6) How open would you be to receive some level of coaching in order to reach your desired outcome?

I do not want any coaching in order to reach my desired outcome.

I am open to listening to what coaching could do for me.

I am very open to receiving assistance from the right coach to facilitate the achievement of my goals and get there faster than doing it on my own.

7) Our coach will call you at your selected time 100% free of charge. Please confirm that you are aware of the agreed upon time and will show up as promised, by typing in these words - “ YES, I PROMISE I WILL BE THERE FOR THIS SESSION"*

8) Finally, between 0-10, how committed are you to finding a solution to your challenges right now?

(0 = Not Committed At All, 10 = Fully Committed And Ready To Move Forward)

Please enter a number from 0 to 10.

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