1:1 Coaching With Meir Kay

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This questionnaire will help me - and you - assess if this is the right fit to move ahead with. Your privacy is of utmost importance; only me, Meir, will have access to what you're sharing below. After completing this you will hear from me within 48 hours.

~ Allow 8 minutes to complete this.

Name *

E-mail *

Phone Number *

Age *

Location *

Do you have a coach, mentor or therapist that you are currently working with? Please Elaborate.

Are you in a crisis?

Yes, I am in the thick of it.

I am not currently in a crisis.

Required

If you ARE in a crisis, please share more.

How willing are you to be open and vulnerable?

Not willing

Resistent, but will go for it

This is the kind of thing I live for

I have financial resources to invest in my personal growth.

Yes.

I do not at this time.

Is there anything else you would like to share so I can better understand where you may need extra support?

Submit

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