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• Free Introductory TeleClass: “How to use the Law of Attraction to Turn Your Life Around”
• Stop making New Year’s resolutions and make this “The Year You Turn Your Life Around” starting right now

Thank you for your interest in coaching with Marty Marsh.

Marty’s goal as your coach is to help you reach the level of success that you desire by helping you to reach inside and find the resources within yourself to make all your dreams come true.

Your comfort and safety are my utmost concern, so you can be assured that your privacy is 100% guaranteed. Anything you discuss with me, stays just between you and me. I subscribe to and abide by the Coaching Code of Ethics set forth by the International Coaching Federation.

My training has prepared me to help you bring out your best. Coaching is a co-creative relationship. It is my desire to help you achieve balance in your life and to achieve the goals that you set forth.

In preparation for our first session together where we get to know each other better, please complete the Confidential Personal Coaching Questionnaire.

Instructions for completing and returning the form:

The Questionnaire can be completed online below, or, if you prefer, you can complete it in the form of a Word document.

To use the Word document:

• click this link to open the file automatically (or you can right-click it and save it to a place where you can easily find it on your computer).
• Highlight the items you see in BLUE and type in your answers.
• Then click on SAVE AS from the FILE menu, and save the document with a new title that includes your name (i.e. CPCQ.MartyMarsh.doc).
• Then attach the form to a new e-mail document and e-mail to me at

Or, print out the completed Word document and fax to me at: 904-216-7945

Or, print out the completed Word document and mail to me at:

Confidential Personal Coaching Questionnaire
Today’s date:
Your name:
E-mail:
Phone number:
What is working best  in your life right now?
What is the most  challenging aspect of  your life right now?
What do you like  about yourself?
What one aspect of  yourself would you  most like to change?
What are the top 3  things you’d like to  accomplish over the  next 30-90 days?  (please be specific;  i.e. “being rich” or  “being happier” is not  specific)	1st accomplishment: 2nd accomplishment: 3rd accomplishment:
What are your top  3 strengths that  will help you  achieve your  accomplishments?	1st strength: 2nd strength: 3rd strength:
What might be some  of the things that  could get in the way  of your achieving  these goals?
What do you do for  fun? What makes  you laugh?
What is one thing you  do to pamper your-  self (if anything)?
What would you  like to accomplish  by having a coach?
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