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1. What SCORE out of 10 would you give for how SATISFIED you are with your life overall?

2. If you were to give a SCORE out of 10 for your SUCCESS in life:

3. If you were to give a SCORE out of 10 for how HAPPY you are in your current CAREER:

4. Give a SCORE out of 10 for how overwhelmed, BUSY or stressed you usually feel:

5. Deep down, I like myself: (Score between -5 and 5)

6. What is your FAVOURITE thing in life at the moment? (like best)?

7. What could be IMPROVED in your life at the moment? (like least)

8. Thinking about coaching, I am looking: (tick all that apply)

For More Meaning / Purpose in Life

For More Fulfilment / Happiness in Life

For More Ease / Simplicity or Balance in Life

For More Freedom and / or Inner Peace in Life

To Change or Move Forwards in my Career

To Achieve my Goals Faster / More Easily

To Learn to Trust Myself More / Be My Authentic Self

9. I am ready to take ACTION, and make changes in my environment, habits and life:

Maybe

Yes

No

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