	Skill Assets	Life	Skill	Financial	Finish

Skill Assets

First we need to know a little about you before you complete the three profile forms. Please complete them as honestly as you can so we can better analyse you profile. Fields marked ^* must be completed.

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What is the name of the coach that referred you:
Your Details:
Title:
First name:^*
Surname:^*
Company:
Position/Title:
Address:

Town:
Postcode:
Phone (day):^*
Phone (eve):
Fax:
Mobile Number:
Email address:^*

Sex:	Male Female
Age:
Marital Status:
How many times have you been married?	Never One Two Three Four More
Number of children:
Age of each child:
What is your employment status??
What is your current occupation?
Is this the career you want?
List your life and occupation skills (i.e.. Good writer, organizer, good attitude, etc)	1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Add more life and occupation skills: (optional)
How are you doing Financially?	Excellent Good Fair Poor Unknown
How are your relationships?	Excellent Good Fair Poor Unknown
How do you feel life is going for you?	Excellent Good Fair Poor Unknown
What are your dreams and aspirations?
How are you doing on your dreams and aspirations?
What are your religious beliefs?	Christian Muslim Hindu Sikh Other Atheist
What is your ethnic group?	White Mixed Asian Black Chinese Other
What do you think of yourself as?	Spiritual Being A Mind A Body An Identity All of These Something Else
What do you tend to Buy?	Stocks Bonds Real Estate Life Insurance Speculative No Money for any
How many severe accidents have you had?
What Happened?
Have you had any severe illnesses? How many?
What were they?
How many operations have you had?
What were they?
Do you drink alcohol?	No Very Rarely Occasionally Often Heavily Constantly
Do you take drugs?	No Very Rarely Occasionally Often Heavily Constantly
Do you take Medicine?	No Very Rarely Occasionally Often Heavily Constantly
What have you taken?	Lithium Aspirin Sleeping Pills Barbiturates Amphetamines LSD Prozac Marijuana Cocaine Heroin Valium Demerol Others What?
What Practices have you tried?	Est/Forum TM Psychology Dale Carnegie Psychiatry Yoga Life Spring NLP Avatar Remote Viewing Re-birthing Hypnosis Others? What?
Have you had an Ascension or Empowerment Experience?	No Yes When?