The Deviant Dream QUESTionnaire

Full Name

Email Address

Phone Number (for complimentary strategy session).

Please describe your current job in detail.

Please describe, in detail, your big vision for your life and/or business.

What is driving you to want to create this vision/accomplish this goal? In other words, what’s your WHY?

Why haven’t you achieved your big vision yet?

What are the major causes of stress in your life?

Where do you see yourself in three months if nothing changes?

How will it feel if nothing changes in a year?

What have been your 3 most important accomplishments to date?
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Personal:

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What major transitions have you had in the past two years – births, deaths, moves, job changes, marriages, divorces, illnesses, etc?

What is the hardest thing in your life that you've overcome?

Who are the five –ten people you spend the most time with – in real life AND online? Be specific.

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List 5 adjectives that describe you at your best. If you’re not sure, what do your friends say about you?
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List 5 specific things that are draining you in your life.
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List 5 specific things that give you energy.
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What do you consider your greatest talent/ability?

What are the reasons you want to work with a coach?

What is the desired outcome of working with me (your goals)?

How committed are you to achieving your goals?

What are you willing to do or change to achieve these goals?

What is going to be the most difficult part or biggest obstacle for you (money, time, commitment, dealing with family/friend/loved one’s reaction)? In other words, what would stop you from achieving what you want in this world?

What will happen if you don’t address what’s holding you back from accomplishing your goals within the next six months?

What will it mean to you in a year if you don’t go for it now?

How will it feel...how will your life change and be affected if you DO accomplish your goals? How will you celebrate?

Thank you! Please expect a confirmation email from SD that we received your form.

Email TuneIn@theSocialDeviants.com with any questions or comments.

This QUESTionnaire and our accompanying complimentary 20-minute consultation, will determine if we are a good fit for each other. Please submit this QUESTionnaire by May 20, 2015. Email