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Application Form for Your Next Step Session

13Questions

1
Name:* This field is required
First Name
Last Name
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2
E-mail Address:* This field is required
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3
Website. If you don't have one write none.* This field is required
Month
Day
Year
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4
Phone Number:* This field is required
Area Code
Phone Number
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5
How do you serve your clients?* This field is requiredEx. Are you coaching, massaging. Is it 1-1 only or do you offer other solutions as well?
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6
What do you like and dislike about your job?* This field is requiredMaybe you don't dislike anything, but there can be things that you like more than the other.
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7
What goal do you have 12 months from now?* This field is requiredIf you knew that nothing would stop you, how do you want your worklife to be?
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8
What would that give you that you don't have today?* This field is requiredAre there things you want to do or buy that you can not today. Or are you looking for at specifik lifestyle?
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9
How is your situation today? * This field is requiredWhat are stressing you today? What problems would you like to have solved?
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10
How does that affect your life?* This field is requiredAre you stressing out, do you lack time or money?
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11
Have you tried to solve that before?* This field is requiredIf you have what didi you do? If not, why?
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12
On a scale from 1-10 where 10 is super important and 1 is not important at all. How important is it for you to change your situation?* This field is required
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13
What do you see is your biggest challenge?* This field is required
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