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GoalGetter Intake Questionnaire

"I do what I have to do. I don’t want to let others down, but I may let myself down."
Does this sound like you? If so, you might be frustrated with your inability to take care of your own well-being. People with your tendency are also susceptible to burnout. You may belong to a group of people labeled by author Gretchen Rubin as Obligers.
Obligers depend on external accountability, with consequences such as deadlines, late fees, or the fear of letting other people down. In fact, Obligers need external accountability even for activities that they want to do.
GoalGetter is a personal accountability coach, designed specifically for people like you. Simply fill out the form below to start getting the support, encouragement and accountability you need in order to live your best life.

What's your name?

What's your email?

What's your phone number?

GoalGetter is an immersive, personalized experience. Your coach will be speaking to you on the phone and interacting via text messaging. Cancel the service at any time by replying to the confirmation email.

What goal would you like your coach to help with? This can be something like finding time to relax, exercising more often, or working on a project without a deadline

Tell us about yourself in a couple sentences.

Your age, location, family and work situations might be helpful for your coach to know.

Anything else you'd like us to know?