Unstuck Session Questionnaire Please take your time to complete this form. This should take 10-15 minutes to completePlease complete this form prior to our session Name * First Name Last Name What Would you prefer to be called? Email * Phone * Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country What is your primary Social Media Handle? What do you believe you need to shift to your next level? * What do you expect out of these Unstuck Sessions? * Tell me something about yourself that you think I should coach you better. * What are some of your strengths? * What do you consider your weakness? * Where do you see yourself in 5 years? * Have you ever hired a life coach or brand strategist before? * Yes No ****** I am not a licensed therapist, psychologist or counselor. IF your concern is outside of my scope I will be happy to reference you to a better fit. Do you understand? * Let's equip you in moving forward Yes Thank you!