Hi client,
I’m looking forward to connecting and seeing whether our services are the right fit for what you’re looking for. This mini intake gives me quick context so we can make the most of our time. Please complete it before our call.
Talk with you soon!
Dinean
1. What made you reach out right now?
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2. Which best describes what you want support with?
{"type":"checkbox","name":"__generic","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Work and leadership\nRelationship and marriage\nPersonal clarity and direction"}
3. In one sentence, what outcome would make this feel "worth it"?
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4. What's working well right now that you want to protect?{"type":"textarea","name":"__generic4","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
5. What feels most stuck, heavy or repetitive lately?
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6. How long has this been going on?{"type":"radio","name":"__generic6","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please choose one of the above options.","options":"0-3 months\n3-12 months\n1+ years"}
7. Where is this showing up the most?
(Select all that apply)
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8. How urgent is this for you right now? Scale 1 (not important) - 5 (very important)
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9. If nothing changes in the next 3-6 months, what's the cost?
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10. What have you already tried? What helped you (even a little)?
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11. What kind of support would be the most valuable right now?
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12. How ready are you to take action over the next 30 days? Scale 1 -10
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13. Have you worked with a coach before?
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If yes, was it helpful?{"type":"text","name":"__generic15","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
14. If we're a fit, what level of support are you open to exploring?
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15. Anything important you want us to know before we meet.
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