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Purchaser |
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Name |
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Mr. Mrs. Ms |
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Address |
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City |
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State |
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Zip Code |
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Country |
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Phone |
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Fax |
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E-Mail |
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Coaching Questions |
(Please complete this form to make individualized
tapes series) |
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Name you like to be called
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Name of your super hero |
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Years you have wanted to improve |
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AGE |
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DO YOU HAVE ANY MEDICAL PROBLEMS |
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Write down six changes you want from coaching
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Write down six reasons to continue being
the way you are now and not changing
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Write down any traumatic experiences you
recently had |
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Your biggest fears
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Comments |
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