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* 1. Contact Info

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* 2. What is your age?

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* 3. Why would you like to talk to me? What would you like to find out?
What’s your biggest / most frustrating challenge right now?

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* 4. What  is your biggest desire in your life?; If you have a magic wand in your hand what would you like to be / do / have?

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* 5. What is your 3 biggest challenges or blockages to have this /these desire at the moment?

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* 6. If you do not find a solution to this frustration / problem within 6 months, what will happen and how do you feel?

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* 7. Are you in any other coaching programmes or therapy, medication right now? If so, which one(s)?

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* 8. How committed are you mentally, emotionally, financially to make this change in your life and get the result you would like? (Please count 0-10, 0 is not committed, 5 moderate, 10 fully committed)

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* 9. Please write time and date in your Time-zone so I can make arrangements accordingly;

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* 10. Are you currently subscribed to Nilgun's email list? If not, would you like to be added?

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