VIP – Create your Happiness Map prep form

Please fill out the VIP intensive prep form below at least 72 hours before our scheduled VIP day:

Name*
First Last
Date*
MM slash DD slash YYYY
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website (if applicable)
Briefly describe your life: What do you do? Are you married? Do you have kids? What is your life and career like right now?*
Please tell me your Happiness Type.*
Please tell me your Assessment results (top 3 happiness facets).*
Do you know what you need in your life to be happy? Elaborate please.*
Does your assessment results seem in alignment with how you feel right now in your life? How well do you incorporate happiness into your life and career?*
Have you ever started a Happiness Practice? What does that mean to you?*
What are your most pressing challenges that have driven you to seek out support? Health, relationships, money, etc. Please be as specific as possible.*
What is the cost of NOT overcoming the challenges you indicated above. HOW are these challenges impacting your happiness? Please be specific and focus on what matters to you, such as your relationships, home life, peace of mind, lost time, business income and financial success, etc.
What is the #1 biggest obstacle that has kept you from solving these challenges?*
Have you tried to solve the problem(s), and if so, what have you already tried that didn’t work for you?*
Have you worked with other coaches before? Please list any training or mentoring programs that you are currently in or have completed in the past.*
How do you feel when you wake up and think about the day ahead of you?*
If you could wave a magic wand and have your ideal [lifestyle / business / health / level of income / relationship], what would that look and feel like?*
Is there anything you think that’s standing in your way to create amazing happiness in your life, relationships, career?*
What specific results will make our time together feel well worth your time and money?*
Is there anything else you'd like Jennifer to know before we begin working together?

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