1-to-1 Coaching with Pauline McKernan Questionnaire

If you’re looking for a more personal support and coaching experience with Pauline McKernan, please fill out the questionnaire below. Once we have a chance to review your answers we will be in contact to discuss next steps.

Name *

First

Last *

Last

Email *

Phone Number *

Age

What do you feel is your greatest challenge right now? *

How HAPPY are you in life right now (scale of 1-10)? 12345678910

How confident are you in life right now (scale of 1-10)? 12345678910

How satisfied are you with your relationships (scale 1-10)? 12345678910

Would you like to work on your Relationships?

Yes

No

Not Sure

Would you like to work on Personal Growth?

Yes

No

Not Sure

Would you like to work on your Business?

Yes

No

Not Sure

Why do you believe Pauline can help you? *

What is your monthly investment budget for coaching? *

Any additional comments or challenges that you would like to share? *

Send me your inspirational e-Mentor emails.

Yes

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