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Hello you awesome beautiful person!

You are invited to participate in my life changing approach to get more ambitious people focused on ACCOMPLISHING their goals! In this round of questions you will start looking at your goals in action and then we can work together to make sure we use what you have written or described to make those goals a reality.

It will take approximately 5 minutes to complete the questionnaire. Your participation in this process is completely voluntary. There are no foreseeable risks associated with this process. However, if you feel uncomfortable answering any questions, you can stop answering at any point. It is very important for us to learn your way of setting goals. Your responses will be strictly confidential and data from this process will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for taking the 1st Step to having a better school year! Please start on the road of setting OUTSTANDING GOALS for yourself now by clicking the NEXT button below.
 
 
Contact Information
* First Name : 
* Last Name : 
* Cell Phone # : 
* Email Address : 
 
 
* Current Age
   
 
 
* Current Grade in School (for example: 6 for sixth grade)
   
 
 
* Please list ONE goal that you will focus on accomplishing this week (for example: I want to make sure that I turn in all of my assignments in school on time and completed.):
   
 
 
* Do you feel you need help figuring out how to make goals?
 
 
 
* Please describe in detail how you are going to accomplish the goal (for example: I am going to work on my homework as soon as I get home. I am going to take excellent notes in class so that I will not forget any assignments that are completed. I am going to create a weekly chart of when my homework is due in each class so that I can stay organized.):
   
 
 
* Do you feel you need help figuring out how to create steps to accomplish your goals?
 
 
 
* Please describe in detail how you will stay on track and not lose focus of your goal this week (for example: I am going to turn off my cell phone when I study. I am going to do my assignments daily and not wait and try to cram all the work into one night. I am going to set a real study plan so that I can IMPROVE my time management skills):
   
 
 
* Please list ONE person that you will SHARE your weekly goal(s) with so that they can HOLD YOU ACCOUNTABLE for your work and give you HONEST feedback (for example: I will share my goals with my mother so that she can see that I have THOUGHT about my weeks work and what I have to do to stay on track.):