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Name

Email

What do you hope to achieve by working with a coach?

What is your biggest challenge right now?

Why are you looking for a coach now?

Where would you love the most support? Holistic balance, spirituality, live ageless, next level, other?

How would you describe your level of spirituality?

What does “success” mean to you?

How willing/committed are you to invest in creating the results you want?

Thanks for submitting!

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