My Hypno Coach - Application Survey

Question Title

* 1. Please enter your details below:

First Name

Surname

Phone Number

Business Name

Years in Business

Question Title

* 2. What is the nature and a brief outline of your Career Role or Business?

If known, things to include are:

a) Who do you serve?
b) What problem you solve or value you provide?
c) Why are you doing that specifically?

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* 3. CURRENT Annual Income or Business Revenue

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* 4. TARGET Annual Income or Business Revenue in the next 12 months

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* 5. Based on your current situation and thinking about the next 3-12 months;

What would you say is the most important area needing greatest focus and improvement right now?

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* 6. Why do you not already have things the way you want them?

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* 7. What previous actions (if any) have you taken to address the reason you're for asking my help today?

Question Title

* 8. What business questions or personal questions haven't you been able to find an answer to yet?

Question Title

* 9. What's the most important thing for you when considering a coach or mentor?

Why do you think Chris could be a great mentor for you?

	0	1	2	3	4	5	6	7	8	9	10
Health and Wellbeing	Health and Wellbeing 0	Health and Wellbeing 1	Health and Wellbeing 2	Health and Wellbeing 3	Health and Wellbeing 4	Health and Wellbeing 5	Health and Wellbeing 6	Health and Wellbeing 7	Health and Wellbeing 8	Health and Wellbeing 9	Health and Wellbeing 10
Energy Levels	Energy Levels 0	Energy Levels 1	Energy Levels 2	Energy Levels 3	Energy Levels 4	Energy Levels 5	Energy Levels 6	Energy Levels 7	Energy Levels 8	Energy Levels 9	Energy Levels 10
Relationships with Family	Relationships with Family 0	Relationships with Family 1	Relationships with Family 2	Relationships with Family 3	Relationships with Family 4	Relationships with Family 5	Relationships with Family 6	Relationships with Family 7	Relationships with Family 8	Relationships with Family 9	Relationships with Family 10
Relationships with Friends	Relationships with Friends 0	Relationships with Friends 1	Relationships with Friends 2	Relationships with Friends 3	Relationships with Friends 4	Relationships with Friends 5	Relationships with Friends 6	Relationships with Friends 7	Relationships with Friends 8	Relationships with Friends 9	Relationships with Friends 10
Self Love / Self Esteem	Self Love / Self Esteem 0	Self Love / Self Esteem 1	Self Love / Self Esteem 2	Self Love / Self Esteem 3	Self Love / Self Esteem 4	Self Love / Self Esteem 5	Self Love / Self Esteem 6	Self Love / Self Esteem 7	Self Love / Self Esteem 8	Self Love / Self Esteem 9	Self Love / Self Esteem 10
Confidence / Self Efficacy (The ability to produce a desired or intended result)	Confidence / Self Efficacy (The ability to produce a desired or intended result) 0	Confidence / Self Efficacy (The ability to produce a desired or intended result) 1	Confidence / Self Efficacy (The ability to produce a desired or intended result) 2	Confidence / Self Efficacy (The ability to produce a desired or intended result) 3	Confidence / Self Efficacy (The ability to produce a desired or intended result) 4	Confidence / Self Efficacy (The ability to produce a desired or intended result) 5	Confidence / Self Efficacy (The ability to produce a desired or intended result) 6	Confidence / Self Efficacy (The ability to produce a desired or intended result) 7	Confidence / Self Efficacy (The ability to produce a desired or intended result) 8	Confidence / Self Efficacy (The ability to produce a desired or intended result) 9	Confidence / Self Efficacy (The ability to produce a desired or intended result) 10
Emotional Management/Control/Resiliency	Emotional Management/Control/Resiliency 0	Emotional Management/Control/Resiliency 1	Emotional Management/Control/Resiliency 2	Emotional Management/Control/Resiliency 3	Emotional Management/Control/Resiliency 4	Emotional Management/Control/Resiliency 5	Emotional Management/Control/Resiliency 6	Emotional Management/Control/Resiliency 7	Emotional Management/Control/Resiliency 8	Emotional Management/Control/Resiliency 9	Emotional Management/Control/Resiliency 10
Current Career Fulfilment / Enjoyment	Current Career Fulfilment / Enjoyment 0	Current Career Fulfilment / Enjoyment 1	Current Career Fulfilment / Enjoyment 2	Current Career Fulfilment / Enjoyment 3	Current Career Fulfilment / Enjoyment 4	Current Career Fulfilment / Enjoyment 5	Current Career Fulfilment / Enjoyment 6	Current Career Fulfilment / Enjoyment 7	Current Career Fulfilment / Enjoyment 8	Current Career Fulfilment / Enjoyment 9	Current Career Fulfilment / Enjoyment 10
Knowledge of purpose/calling	Knowledge of purpose/calling 0	Knowledge of purpose/calling 1	Knowledge of purpose/calling 2	Knowledge of purpose/calling 3	Knowledge of purpose/calling 4	Knowledge of purpose/calling 5	Knowledge of purpose/calling 6	Knowledge of purpose/calling 7	Knowledge of purpose/calling 8	Knowledge of purpose/calling 9	Knowledge of purpose/calling 10
Life in General	Life in General 0	Life in General 1	Life in General 2	Life in General 3	Life in General 4	Life in General 5	Life in General 6	Life in General 7	Life in General 8	Life in General 9	Life in General 10

Health and Wellbeing

Health and Wellbeing 0

Health and Wellbeing 1

Health and Wellbeing 2

Health and Wellbeing 3

Health and Wellbeing 4

Health and Wellbeing 5

Health and Wellbeing 6

Health and Wellbeing 7

Health and Wellbeing 8

Health and Wellbeing 9

Health and Wellbeing 10

Energy Levels

Energy Levels 0

Energy Levels 1

Energy Levels 2

Energy Levels 3

Energy Levels 4

Energy Levels 5

Energy Levels 6

Energy Levels 7

Energy Levels 8

Energy Levels 9

Energy Levels 10

Relationships with Family

Relationships with Family 0

Relationships with Family 1

Relationships with Family 2

Relationships with Family 3

Relationships with Family 4

Relationships with Family 5

Relationships with Family 6

Relationships with Family 7

Relationships with Family 8

Relationships with Family 9

Relationships with Family 10

Relationships with Friends

Relationships with Friends 0

Relationships with Friends 1

Relationships with Friends 2

Relationships with Friends 3

Relationships with Friends 4

Relationships with Friends 5

Relationships with Friends 6

Relationships with Friends 7

Relationships with Friends 8

Relationships with Friends 9

Relationships with Friends 10

Self Love / Self Esteem

Self Love / Self Esteem 0

Self Love / Self Esteem 1

Self Love / Self Esteem 2

Self Love / Self Esteem 3

Self Love / Self Esteem 4

Self Love / Self Esteem 5

Self Love / Self Esteem 6

Self Love / Self Esteem 7

Self Love / Self Esteem 8

Self Love / Self Esteem 9

Self Love / Self Esteem 10

Confidence / Self Efficacy
(The ability to produce a desired or intended result)

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 0

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 1

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 2

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 3

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 4

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 5

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 6

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 7

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 8

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 9

Confidence / Self Efficacy
(The ability to produce a desired or intended result) 10

Emotional Management/Control/Resiliency

Emotional Management/Control/Resiliency 0

Emotional Management/Control/Resiliency 1

Emotional Management/Control/Resiliency 2

Emotional Management/Control/Resiliency 3

Emotional Management/Control/Resiliency 4

Emotional Management/Control/Resiliency 5

Emotional Management/Control/Resiliency 6

Emotional Management/Control/Resiliency 7

Emotional Management/Control/Resiliency 8

Emotional Management/Control/Resiliency 9

Emotional Management/Control/Resiliency 10

Current Career Fulfilment / Enjoyment

Current Career Fulfilment / Enjoyment 0

Current Career Fulfilment / Enjoyment 1

Current Career Fulfilment / Enjoyment 2

Current Career Fulfilment / Enjoyment 3

Current Career Fulfilment / Enjoyment 4

Current Career Fulfilment / Enjoyment 5

Current Career Fulfilment / Enjoyment 6

Current Career Fulfilment / Enjoyment 7

Current Career Fulfilment / Enjoyment 8

Current Career Fulfilment / Enjoyment 9

Current Career Fulfilment / Enjoyment 10

Knowledge of purpose/calling

Knowledge of purpose/calling 0

Knowledge of purpose/calling 1

Knowledge of purpose/calling 2

Knowledge of purpose/calling 3

Knowledge of purpose/calling 4

Knowledge of purpose/calling 5

Knowledge of purpose/calling 6

Knowledge of purpose/calling 7

Knowledge of purpose/calling 8

Knowledge of purpose/calling 9

Knowledge of purpose/calling 10

Life in General

Life in General 0

Life in General 1

Life in General 2

Life in General 3

Life in General 4

Life in General 5

Life in General 6

Life in General 7

Life in General 8

Life in General 9

Life in General 10

Question Title

* 1. Please enter your details below:

Question Title

* 2. What is the nature and a brief outline of your Career Role or Business?If known, things to include are:a) Who do you serve?b) What problem you solve or value you provide? c) Why are you doing that specifically?

Question Title

* 3. CURRENT Annual Income or Business Revenue

Question Title

* 4. TARGET Annual Income or Business Revenue in the next 12 months

Question Title

* 5. Based on your current situation and thinking about the next 3-12 months;What would you say is the most important area needing greatest focus and improvement right now?

Question Title

* 6. Why do you not already have things the way you want them?

Question Title

* 7. What previous actions (if any) have you taken to address the reason you're for asking my help today?

Question Title

* 8. What business questions or personal questions haven't you been able to find an answer to yet?

Question Title

* 9. What's the most important thing for you when considering a coach or mentor? Why do you think Chris could be a great mentor for you?

Question Title

* 10. Please rate (instinctively) your current score for the following:0 = Couldn't be Worse10 = Couldn't get any Better

* 2. What is the nature and a brief outline of your Career Role or Business?

If known, things to include are:

a) Who do you serve?
b) What problem you solve or value you provide?
c) Why are you doing that specifically?

* 5. Based on your current situation and thinking about the next 3-12 months;

What would you say is the most important area needing greatest focus and improvement right now?

* 9. What's the most important thing for you when considering a coach or mentor?

Why do you think Chris could be a great mentor for you?

* 10. Please rate (instinctively) your current score for the following:

0 = Couldn't be Worse
10 = Couldn't get any Better