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Recovery Coach Questionnaire for Call
Full Name:
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Your answer
Cell #: Country Code, Area Code, Number
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Your answer
Email Address:
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Your answer
What was your drug of choice and how long do you have sober?
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Your answer
What type of treatments have you experienced in the past? (inpatient, outpatient, IOP, 12 Steps, other)
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Your answer
What has worked to keep you sober? What has not?
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Your answer
If you have relapsed in the past, how many times and how did you get back to sobriety?
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Your answer
What area of your life feels more "off" than the others and why? *
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Your answer
What area of your life feels the most "ON" or "In Flow"? How do you think you have achieved this?
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Your answer
If you were able to unlock your potential what would that look like in 12 months time ?
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Your answer
What is blocking you from having that right now?
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Your answer
Have you worked with a coach in the past and if so, what changed for you?
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Your answer
Why do you think I am potentially the right coach for you?
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Your answer
I am ready & willing to make an investment of time & money to my transformation (Powerful conversations are reserved for those ready to make an investment on the call)
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Yes. I have the ability to invest now.
Yes. If I had the option of a monthly payment plan.
Row 1
Yes. I have the ability to invest now.
Yes. If I had the option of a monthly payment plan.
Row 1
Anything else I should know?
Your answer
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