Questionnaire Form

Please complete the following Assessment in detail. This assessment is intended to provide a bridge which is essential for your continuing success in launching you from where you are to where you want to be.

  • BECOMING THE PERSON I NEED TO BE
  • VISION & GOALS
  • (Please do not hold back on this question. Make your outcome so big that if you were to achieve it, your decision to receive coaching from Dr. Clarice Fluitt would be the single most important decision you ever made in your life.)
  • PERSONAL BACKGROUND
  • POTENTIAL AND POSSIBILITY

Your success during our time will be increased as you take notes and act on the things you say you will do to experience a fresh dimension of reality in your life.

I am looking forward to working with you to help you cultivate a life of greatness!

Committed to your success,

Dr Clarice Fluitt