Intake Survey | StephMelnychuk.Coach

1. What is something that you’re ‘giving a lot to’ in your life right now?

2. What do you want more of?

3. What do you want less of?

4. What do you yearn for? What are your deepest longings?

5. What motivates or inspires you?

6. How do you hold yourself back? Why?

7. How do you want to spend your time?

8. What are you capable of?

9. What do you want to be celebrating in 6 months’ time? Where do you want to be then? Who is ‘the you’ that you want to most fully be?

10. Is there anything else you'd like to share?

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