What's Your True Calling ?

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Name *

Phone *

Email *

City *

State *

Web Page

What occupation or business are you in?*

Where did you first learn about me? *
Did someone in particular refer you? If you received a Gift Certificate, please enter GC + the name of the person who gave it to you.

What’s your vision for your life? What would you be enthusiastic, ecstatic, thrilled to create in your career or business in 1-3 years?

Positive Impact*
What impact do you want to have in the world? What positive difference do you want to make?

Ideal Life* *
If you had your ideal life, what would that look like? Career? Fun? Relationships? Community? Money? Home environment? Personal or spiritual development? Health and well-being?

How would achieving your vision improve your life? What would be the best part? Why is this important to you?

How do you imagine it would feel to achieve your vision? Please provide at least three adjectives to describe your feelings.

What holds you back from achieving your vision? What are you biggest obstacles?

On a scale of 1-10 (1=low, 10=high), how would you honestly rate yourself in these 10 key areas of life success:

Compelling Vision*
I have a clear and compelling vision that pulls me forward.

Committed and Engaged*
I am fully “committed” and “engaged” with achieving my vision.

I am consistently “being” my most magnificent and powerful self, the person I need to be in order to achieve my vision.

I am clear about my specific obstacles/challenges and I have a plan to triumph over each one.

Goals, Strategy, and Action Plan *
I have written measurable goals, milestones, strategies, and a good action plan.

Self Care*
I know what maintains my optimal well-being and implement that consistently.

Time Management and Organization *
My time management and organization is excellent.

Action and Follow Through *
My follow through is consistent. I am taking massive action.

Celebration *

Support *
I celebrate my achievements and my efforts regularly.

Have you ever worked with a career or life coach before? *

On a scale of 1-10, how motivated and committed are you to achieve these results?*

On a scale of 1-10, how motivated are you to find and enroll in the right coaching program for you? *

What concerns, if any, do you have about coaching?