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We're looking for serious go-getters who are ready to prioritize their goals and commit to the process! Is that you? Then let's get to it.

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Question 1 of 6

Full Name and Email

Question 2 of 6

What are your top 3 goals?

Question 3 of 6

What are your top 3 obstacles?

Question 4 of 6

If you have worked towards these goals before, what has worked and/or not worked well for you in the past?

Question 5 of 6

What do you need most from me as your coach?

Question 6 of 6

On a scale of 1-10, how ready, willing, and able are you to do what needs to be done to accomplish your goals? (1: I want it but I don't think I'm ready to do the work, 10: I'll do whatever it takes!

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

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