Quick, Easy Survey -Check for yourself

Complete this very quick survey and discover whether coaching is right for you. If you believe your answers could be better, why hesitate? Commit to a Coaching Package and begin to improve your life.

Remember: Every journey begins with the first step.

For a more in-depth survey join our website and after you log in, complete the Life Balance Chart Questionnaire©; this will give you a real sense of how coaching can assist you, it will also give you further insights into what you can work on and you will receive an extra session of coaching as a complimentary gift when you commit to a 3-month Platinum Package.

User Information

Name : Email Address :

What is your gender?

Male
Female

What do you consider to be your strengths?

Curiosity and openness - I am ready to learn
I have a great Response-Ability
Knowing I need to move forward in my life
Desire to continually improve myself
Concern for my own health and wellbeing
Concern for the wellbeing of others
Very busy in my life
Too much to do, not enough time
I am able to respond positively to every situation - always

What do you consider are your weaknesses?

Too much to do, not enough time
I procrastinate or lack self-discipline
Lack of clarity with decsion making
Not focused on my goals
I do not set goals
Lack of interest in my own health & wellbeing
Communication issues
Working in a job/career that is not fulfilling
My emotions get the better of me

I am satisfied with the results I obtain in my life in general.

I have a desire to improve the balance in my life

I understand the true meaning of responsibility and how that fits in my life.

I am prepared to own my own story and move forward with a positive attitude.

Which area/s in your life do you believe could be more in balance?

A: Personal Development
B: Family
C: Leisure Time
D: Health/Fitness/Wellbeing
E: Relationships
F: Wealth and Abundance
G: Career
H: Relationship to World/Spirituality

I choose to commit to a Coaching Package with Learning Applications right now

Yes
No
Not just yet
Please contact me to discuss

Comments

E-mail communication

Do you authorise us to contact you by email?
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