New Client Info Sheet

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Would you like to receive information about new Programs and Workshops? Yes No

How did you find out about Life Puzzle?

If you could get anything you wanted out of the training, in a few words what would you want?

What is the nature of the problem/situation that lead you to contact Life Puzzle for assitance/training/coaching?

How long have you had this problem?

As you answer the questions, can you get in touch with the emotions associated with this problem? Yes No

On a scale of 1 - 10, how intense are the feelings associated with this problem? 1 2 3 4 5 6 7 8 9 10

When it is time to recharge your batterise do you prefer to be... Alone With Others

Do you use a Diary? No Yes - I couldn't get by without it Yes - only when I have to

When you make a decision, do you rely on Impersonal Reason and Logic Personal Values

If you and I were going to do a project together, what would you want to know? All the details first The big picture first

How do you know you have done a good job? I know inside myself Someone usually tells me

How often does someone have to convince you of their competence? I'm convinced automatically A few times Consistently

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New Client Information Sheet