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 Coaching Response 
Coaching 1 

Please complete the form below after attending a Wednesday Coaching session.  Complete after each of 5 successful sessions to qualify you for this SEGMENT of your 25% backend payout bonus.

Segment 1
 
Segment 1:
Call Date:
 *
 
Member #:
 *
First Name:
 *
Last Name:
 *
Address:
 *
City:
 *
State-Prov:
Zip Code:
 *
Email Address:
 *
Phone:
 *
 
What is your WHY?
 *
 
What is a toleration?
 *
 
What is your theme?
 *
 
Wait a few seconds after SUBMIT to receive your ON SCREEN confirmation.
Do not enter anything in this field:

* indicates a required field
 
Coaching 2 

Segment 2
 
Segment
Call Date:
 *
 
Member #:
 *
First Name:
 *
Last Name:
 *
Address:
 *
City:
 *
State-Prov:
Zip Code:
 *
Email Address:
 *
Phone:
 *
 
List 2 benefits for getting Clear of the Past:
 *
 
What could be the result of unhandled inner Conflict?
 *
 
What bold actions are you going to take to clear up the past?
 *
 
Wait a few seconds after SUBMIT to receive your ON SCREEN confirmation.
Do not enter anything in this field:

* indicates a required field
 
Coaching 3 

Segment 3
 
Segment:
Call Date:
 *
 
Member #:
 *
First Name:
Last Name:
Address:
City:
State-Prov:
Zip Code:
Email Address:
Phone:
 *
 
What are some common symptoms of being out of integrity?
 *
 
Integrity is the word we use to describe a state of...
 *
 
What are Values?
 *
 
What are some distractions that might squash living in our values?
 *
 
Wait a few seconds after SUBMIT to receive your ON SCREEN confirmation.
Do not enter anything in this field:

* indicates a required field
 
Coaching 4 

Segment 4
Segment
Call Date:
 *
 
Member #:
 *
First Name:
 *
Last Name:
 *
Address:
 *
City:
 *
State-Prov:
Zip Code:
 *
Email Address:
 *
Phone:
 *
 
Everybody has needs and wants. What is the difference?
 *
 
Simply said needs are...
 *
 
In your presence boundaries may not be observed by...
 *
 
What is a floating boundary?
 *
 
Wait a few seconds after SUBMIT to receive your ON SCREEN confirmation.
Do not enter anything in this field:

* indicates a required field
 
Coaching 5 

Segment 5
 
Segment
Call Date:
 *
 
Member #:
 *
First Name:
 *
Last Name:
 *
Address:
 *
City:
 *
State-Prov:
Zip Code:
 *
Email Address:
 *
Phone:
 *
 
The most important emotion after love in a relationship is...
 *
 
Raising your standards can help your relationship in what 2 ways?
 *
 
What is the most important thing you learned in these coaching sessions?
 *
 
Wait a few seconds after SUBMIT to receive your ON SCREEN confirmation.
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100311
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