If you are ready to work with me through the Private One-to-One Coaching, answer these questions and send the form to me

Contact Information

Your Name

Email Address

Telephone Number

Best Time to Call 8:00 AM - NoonNoon - 4:00 PM4:00 PM - 7:00 PM

Personal Inventory Test

Do I feel stuck in one or more areas of my life YesNo

Why Do I feel that way?

In the last year what has been the most difficult thing I have faced?

What is the dream that i want to accomplish in my life?

What is the one thing I want to focus on this year?

Describe your current situation in one or two sentences

What is the purpose of wanting One on One Private Coaching?

What results do I hope to gain from these Coaching Sessions?

Are you willing to put in the time and effort to get you to your goal? YesNo

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