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2012
October
C
Complimentary Coaching Session with Anais
Complimentary Coaching Session with Anais
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Hello and thank you for your interest in a complimentary "Activate Your Purpose" coaching session. In order to best handle your request and ensure a good match between your needs and my abilities I kindly ask you to complete this survey. Before doing so do take a moment and ask yourself the following questions:
- Am I ready to commit to my own happiness and success?
- Do I want to take active steps towards manifesting my purpose?
Honouring your time and mine, please only submit this coaching request if your answer is YES!
This session takes place via Skype and is all about gaining clarity by identifying the roadblocks that are hindering you from investing your energy purposefully and getting the most out of your mobile life. I will share information that I feel serves you best, independently of whether this is within my scope of services.
Your survey responses are of course confidential and I will not share your data with anybody.
Thank you for your time. I look forward to connecting with you soon!
Anaïs Bock
Yes! Let's go!
*
What is your gender?
Male
Female
*
What is your name?
*
Where are you currently based?
-- Select --
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Yemen
Yugoslavia
Zambia
Zimbabwe
Other
What place(s) do you consider home?
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Which of the following describes you best? You may select more than one option.
I am the partner of an expat
I am the partner of an expat and that is a full-time job!
I work part-time
I work full-time
I have a portable career
I do charity work
I would like to get a job but....
I would like to start up my own business but...
I am a happy house maker
Other
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If you met a friendly stranger how would you answer the question "What do you do?"?
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How would you like this coaching session to help you get ahead?
What burning question would you ask me about living purposefully?
*
What is your email address?
Anais Bock | Transition Coach & Global Skills Trainer at Image Affinity | www.imageaffinity.com
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