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Leslie M. Hardy Coaching Assessment
Contact Information:
Questions:
1. What is going on in your life that you are seeking services at this time?
2. How long have you been experiencing the above situation / circumstances?
3. Have you done anything prior to now to address or change your situation? If so, what?
4. If you could change ONE thing about your life, what would be the most important thing to change for you?
On a scale of 1-10 (10 being the highest) answer the following questions.
1. How motivated are you to work to change your situation?
10
9
8
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5
4
3
2
1
2. How ready and willing are you to dedicate the time needed to change your situation?
10
9
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5
4
3
2
1
3. How ready and willing are you to invest in yourself and your goals, mentally?
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5
4
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2
1
4. How ready and willing are you to invest in yourself and your goals, emotionally?
10
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5
4
3
2
1
5. How ready and willing are you to invest in yourself and your goals, financially?
10
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5
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2
1
6. How able are you to receive direction and implement suggestions?
10
9
8
7
6
5
4
3
2
1
How soon would you like to experience a change and reach your goal(s)?
What are you willing to do achieve the most important thing in your life right now?
Submit
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