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For each of the following life areas, how would you rate your own on the scale of 1 to 10 (10 being the absolute best)

	Career			Family
	Friends			Significant Other/Romance
	Fun/Recreation			Personal Growth
	Health			Physical Environment (House, Car, etc)
	Money

Given the scores above, improving which two areas would make the biggest difference to your life?

	Career			Family
	Friends			Significant Other/Romance
	Fun/Recreation			Personal Growth
	Health			Physical Environment (House, Car, etc)
	Money

What is one BIG goal you want to achieve in the next six months?

What are three things that you have to put up with consistently in your life now?

Assuming everyone has a way of holding back or sabotaging his/her own life, what is you favorite method?

	Procrastination			Difficulty making decisions
	Arrogance			Not being able to say “no”
	Tolerating things			Controlling life/people
	Not being able to say “yes”			Fear of failure

What would be the most valuable thing you would want to get from coaching?

Additional Comments
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When would you like your sample session?	Hours

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www.thewayisee.us

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