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Pre-Coaching Questionnaire

IMPORTANT: Answer the following 24 questions and email this to: This e-mail address is being protected from spambots. You need JavaScript enabled to view it. at least 48 hours prior to your coaching session.

Answering these questions save you one Coaching session and greatly assist your Coach. This will help you to move forward quickly and enable your coach to light up the neural pathways that ensure success. Please answer the following questions as honestly and specifically as you can. It is also helpful to get into a peaceful and focused state to allow your unconscious mind to let the words flow freely...... .

TIP: To maximise the value of the process, simply move through the questions quickly without giving too much thought to your answers. We prefer to get your answers from your unconscious, rather than receiving consciously contrived answers.

 




First Name (*)
Please enter your first name
Surname (*)
Please enter your surname
Street Address (*)
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Suburb
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State/Province (*)
Please select your State/Province
Country
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Daytime Phone
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Email Address (*)
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Mobile Phone
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Birth Date
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Star Sign
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Occupation
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Referred by
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1. What specific outcomes do I choose to achieve from this coaching?
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2. What obstacles have I allowed to stop me from achieving what my outcomes?
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3. What am I tolerating right now?
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4. What am I passionate about?
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5. What am I NOT passionate about?
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6. What is ONE thing that I could do (that I’m not doing now) that if I did on a regular basis would make a tremendous, positive difference in my life?
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7. On reflection, is there anything I would have done differently, in the last 5 years?
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8. What am I most grateful for?
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9. Describe a “10 out of 10” kind of day for me. (The absolute best day ever. What am I doing, who am I sharing it with and who am I being?) Be as detailed as possible; what does it look like, sound like, feel like and what would I be saying to myself if I achieved this 10 out of 10 day?
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10. List the most important people in my life and their relationship with me.
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11. What would my friends say about me as a person?
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12. What would my relatives or parents say about me as a person?
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13. What is missing in my life right now?
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14. There are many concepts of a spiritual life and of course just as many religions. Please tick or if receiving a digital file, check the box that best describes what deity represents spirituality to me. (This will help your coach to respect your faith).










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15. If I were to write a book, what would it be about, or what would the title be?
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16. If I had to move to an deserted island to spend the rest of my days there, and could take only 5 things with me, what 5 things would I choose? (Place them in preferential order and list them as individual items, not collections - You cannot take your entire library – instead choose just one book or one CD).
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17. If you just won Million - what (one to five) things would you purchase?
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18. While this might sound like an odd question; What is the benefit to you of having the issue we will be working on?
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19. In our coaching relationship, is there anything I need to know about you to help our communication? How would you like me to communicate to you? E.g.; Do you like direct communication i.e. “the bottom line”, or a more subtle approach?
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20. Is there anything I need to know about your physical or mental health?
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21. What would be a specific measurement of the success of this coaching program? (Preferably something tangible i.e. getting a job, a way of living, a savings plan in place, removing a limiting belief or negative state, a particular achievement etc).
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22. On a scale of 1 to 10 (10 being total commitment) – what is my commitment to getting what I want from my coaching?
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23. Picturing myself as a 100-year-old person looking back at my life. What would I like to have achieved so that I would consider my life to have been fulfilled with no regrets?
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24. Answer this question within 15 seconds, without editing your thoughts. If you secretly knew, why you were here on Earth or what is your purpose, summarise it in one sentence.
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25. Choose Your Coaching Session Package.
 
Regular packages:

MPORTANT: This provides only an indication of your commitment and will be determined at the end of your first coaching session.



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(Available to all XL Life Members, BNI Members and NLP Students of Life Beyond Limits Trainings only or via a Discount Code No. Special Members packages:
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Payments are paid at the end of each session and can be done via Credit Card, Cash or Cheque or via Finance.



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