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Your transformational journey starts here.

Please provide some personal informational to get started.
Your First Name
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Your E-mail Address
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Your Last Name
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What gives your life, or what will give your life meaning and purpose?

Just share what come\'s up first...
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Is your life one of your choosing? If not, which parts are being chosen for you?

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On a scale of 1–10 (10=HIGH) - provide a number that represents your current level/degree of stress

  • - select an option -
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- select an option -
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What are your primary stressors?

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What is the number one struggle you are contending with at this time of your life?

Share your first thought...
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List five things that you are tolerating in your life at present.

For example: job dissatisfaction, relationship/family stress, financial stress, low self-esteem, personal limitations, etc
first issue
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second issue
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third issue
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fourth issue
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fifth issue
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On a scale of 1-10 (10=Great), rate the quality of the below areas of your life today

Sleep Quality
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Emotional State
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Quality of Work, Career, Mission
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Diet Quality
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Quality of Relationships
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Quality of Fun, Play, Creativity, Joy
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Energy Levels
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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Time Management
  • - 1 poor | 10 incredible -
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- 1 poor | 10 incredible -
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What three goals do you want to achieve over the next 6 months?

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What are the three biggest changes you want to make in your life in the next 3 years?

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Do you have a personal or professional vision? If so, what is it?

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What obstacles, fears and habitual patterns usually get in the way for you?

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What would you like to contribute to the world?

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All done! Thank you for sharing!

Thank you for taking the time to share your deepest inner thoughts here. This will greatly help me to understand whats most needed in our work together. Please click the SUBMIT button!
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