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About
Services
Testimonials
Contact
Client Inventory
Please complete the form below
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Addres
*
Cell Phone
*
(###)
###
####
Birthday
A. Key People
Name three of the closest people in your life:
What role does each individual play?
B. Learning Style (Visual, Auditory, Hands-on):
1. Describe your learning style:
2. How do you process information? (Verbal, writing, organizing):
C. Values
Checkbox
Review the list of words below and check eight that are most important to you:
Achievement
Advancement
Adventure
Affluence
Authority
Autonomy
Balance
Beauty
Belonging/affiliation
Clarity
Challenge
Change
Collaboration
Community
Competence
Competition
Contribution
Courage
Creativity
Fun
Financial security
Fame
Family
Friendship
Happiness
Health
Humor
Intelligence
Inner Harmony
Influence
Intimacy/love
Integrity/honest
Justice/fairness
Knowledge
Loyalty
Orderliness
Perseverance
Personal growth
Physical fitness
Power
Privacy/solitude
Recognition
Relationship
Respect
Responsibility
Risk
Sensuality
Security
Stability
Spirituality
Status
Vitality
Wealth
Wisdom
Thank you!
