| I am ready to fully commit to changing my life. | Yes | No |
| I am open to suggestions from my coach. | Yes | No |
| I am ready to take the action necessary to get what I want. | Yes | No |
I have one or more goals in mind for which I am ready, willing and able to work on.
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| I am willing to invest in my future with time and money. | Yes | No |
I can list road blocks that might stop me from being fully open to coaching.
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In the past, I can see that I have sabotaged myself from succeeding in something:
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What would be the pay-off in not getting what I say I want?
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