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Breakthrough Readiness Assessment

Q1. What best describes where you’re currently at?

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Q1. What best describes where you’re currently at?

A

I feel stuck in patterns I can’t seem to break

B

I know what to do but don’t follow through consistently

C

I’ve done a lot of work but something still hasn’t shifted

D

I’m curious, but not actively looking to change right now

Q2. What is the biggest challenge you are facing right now?

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Q3. What have you already tried to change?

Therapy

Coaching

Self-Development ( Books, Podcasts)

Gratitude/Journalling

Q4. How urgent is it for you to create change in your life right now?

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Q4. How urgent is it for you to create change in your life right now?

A

Very urgent, something needs to shift now

B

Important, I know I need to do something soon

C

I’m open, but not in a rush

D

Not urgent

Q5. Which best describes your mindset right now?

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Q5. Which best describes your mindset right now?

A

I'm ready to be challenged and grow

B

I’m open, but a bit nervous

C

I prefer to take things slowly

D

I prefer to stay in my comfort zone

Q6. If you felt certain this experience would create real change, how comfortable are you investing in yourself?

A

Comfortable, I invest when something feels right

B

Open, I just need to understand the value

C

Cautious, I take time before investing

D

Not in a position to invest right now

What is your full name?

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Your Phone Number?

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