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First Name

Last Name

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What is your current role and what does your business/organisation look like right now?

What made you reach out right now, at this point in your life?

What is the one thing that, if it didn't change in the next 12 months, would concern you most?

What area is your biggest concern?

Health

Happiness

Harmony (Relationships)

On a scale of 1–10, how would you rate your current level of health and what's pulling the score down?

On a scale of 1–10, how would you rate your current level of happiness and what's pulling the score down?

On a scale of 1–10, how would you rate your current level of harmony and what's pulling the score down?

What have you already tried to address this, and why do you feel it hasn't fully worked?

What does your ideal outcome from coaching look like?

What level of investment (financially and in terms of time) are you prepared to make in yourself right now?

Is there anything going on in your life right now that you feel I should know before we speak?

How did you find Bonnie / H3O?

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Use the form below to apply for a spot in the 1:1 H3O program.
(Spaces are limited)