Thank you for taking the first step to investing in yourself and your future.
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What is your first and last name?

 
What is your address?

 
What is your phone number?

 
What is your email address?

 
Date of Birth

 
Are you married, single, divorced or widowed?

 
What are the biggest changes you would like to make in the next three months?

 
What are your three greatest accomplishments to date?

 
What do you expect to achieve in life as a result of hiring me to be your biblical coach?

 
What is the hardest thing you've had in your life to overcome?

 
What major transitions have you had in the last 2 years?

 
Have you worked with a coach or therapist before?  If so, how long did you work with them?

 
What would you like to share with me about your life?

 
What type of improvements would you like to make in your family, money/financial situation, career, relationships, friends, health and spiritual life?

 
On a scale from 1 to 10 how would you rate your life?  Spiritual life?

 
List five things you are currently tolerating and would like to change.

 
Do you have a personal vision of what you would like your life to look like?  Please describe.

 
What would you like to contribute to the world?

 
What would you like to give to people?

 
Tell me what being authentic would like to you.

 
Which coaching styles appeal to you?


 
Tell me anything else you would like me to know so we can make the best of our coaching time together.

 
What is your Skype or Facetime name?

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