Hello 👋
Click the Let's Start button to tell me about your challenges.
I'll take a look and send you a connect back with you directly via email to help you to start moving forward.
I'll take a look and send you a connect back with you directly via email to help you to start moving forward.
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2
Firstly, what is your FIRST NAME?
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3
... and your LAST NAME?
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4
... and also, what year were you born?
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5
Thanks {{ 2. Firstly, what is your FIRST NAME? }} - which of the following words describe how you feel?
Please choose at least 1
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6
Which of the following words describe your current challenges?
Please choose at least 1
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7
How long since you have felt at your best?
Rough estimate, please
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8
In your own words, describe your current challenges and tell us what things are holding you back and frustrating you.
Max. characters 400
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Just a few words will do
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9
How big of a problem is this for you?
Drag the slider to the appropriate level (0 = low, 100 = high)
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10
What is this challenge costing you?
What can't you do?
Is this impacting your work, your health, your relationships, your business, your recreation?
Max. characters 300
Is this impacting your work, your health, your relationships, your business, your recreation?
Max. characters 300
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11
What would life look like if you no longer had this challenge?
How would you feel? What could you do?
Max. characters 300
Max. characters 300
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12
Why do you believe that Legacy Coaching is the solution to help you?
Max. characters 300
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If you are not sure, just type 'Not Sure'
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13
Why do you believe now is the right time for you to address this
{{
2. Firstly, what is your FIRST NAME?
}}
?
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If you are not sure, just type 'Not Sure'
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14
What's your best email address {{ 2. What is your FIRST NAME? }} ?
So we can connect directly with you.
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Please enter valid email address
Thank you for taking the time to let us know a little more about you.
I will contact you shortly with your what we might be able to help you with.
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