Are you ready for “Umang’s Life Coaching for YOUR Health, Happiness and Success?”
Life Coaching is a commitment. With readiness, success is inevitable!
Your full Name: _________________________________________
Best phone # to reach you with: ___________________________
Email address:_________________________________________
How did you find out about this program? _______________________________________________________
Why this program and not any other?
Take a quiz to find your readiness. Circle the right response.
- I see a gap between where I am today and where I want to be Yes__ / I am not sure__/No__
- I feel in me the need to expand my life and grow Yes__ / I am not sure__/No__
- I am ready to invest in myself Yes__ / I am not sure__/No__
- I am willing to make time to invest in myself Yes__ / I am not sure__/No__
- I am willing to invest financially in myself Yes__ / I am not sure__/No__
- I am ready to put in my efforts required to progress Yes__ / I am not sure__/No__
- I am ready to be honest with myself Yes__ / I am not sure__/No__
- I am ready to trust the coaching system Yes__ / I am not sure__/No__
- I am willing to participate in new concepts Yes__ / I am not sure__/No__ am willing to let go of the negative factors in my life Yes__ / I am not sure__/No__
- I am ready to let go of self sabotaging behaviors and attitudes Yes__ / I am not sure__/No__
- I believe that life coaching is the right method for me instead Yes__ / I am not sure__/No__
of medical treatment or seeking financial advisor.
- I am fully responsible for all my life choices and decisions Yes__ / I am not sure__/No__
- I am ready for commitment Yes__ / I am not sure__/No__
Thank you for taking the quiz. Please send your completed quiz via email to: umang@wellnesshaven.com and I will contact you through the information given by you.
With you in your health, happiness and success,
Umang Goel
Life & Business Coach
Phone: (925)819-6327
Email; Umang@wellnesshaven.com
Skype: umanggoel57