AZ Business Coach Marcy Maslov - Empowerment Unlimited Coaching, LLC

++ AZ Business Coach Marcy Maslov - Empowerment Unlimited Coaching, LLC

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How Ready Are You For Coaching?
On a scale from 1 (least likely) to 5 (most likely), please answer the following:

1	2	3	4	5	I can commit to being on time for all calls and/or appointments
1	2	3	4	5	I can articulate my dream
1	2	3	4	5	I am ready to commit to changing my behavior to get the results I want
1	2	3	4	5	I honor my commitments
1	2	3	4	5	I am willing to \"try on\" new concepts or different ways of doing things
1	2	3	4	5	I will speak straight (tell what's really true) to my coach
1	2	3	4	5	If I feel that I am not getting what I need or expect from the coach, I will share this as soon as I sense it and ask that I get what I want and need from the relationship
1	2	3	4	5	I am willing to eliminate or modify the self-defeating behaviors which limit my success
1	2	3	4	5	I will commit to the financial investment in myself
1	2	3	4	5	I have support from family and friends
1	2	3	4	5	I really want to get started on my dream

Name
Phone
Address
City
State
ZIP
E-mail address

"; $ferm_block = "

TOTAL SCORE	$total
SCORING KEY
10-20	Not ready for coaching right now
21-30	Ready for coaching if ground rules signed off and honored
31-40	Ready for coaching
41-55	Very ready for coaching: ask your coach to challenge you
Clicking on the link below will return you to the home page
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"; IF ($op != "ds") { // they need to see the form echo "$form_block"; } else if ($op == "ds") { if ($name == "") { $name_err = "Please enter your name!
"; $send = "no"; } if ($phone == "") { $phone_err = "Please enter a phone #!
"; $send = "no"; } if ($email == "") { $email_err = "Please enter an E-mail address #!
"; $send = "no"; } if ($send != "no") { // it's ok to send! $mailheaders = "From:Empowerment Unlimited Website\n"; $subject = "\"How Ready Are You For Coaching?\" Form\n"; $msg = "The following Person has filled out the \"How Ready Are You For Coaching?\" form.\n"; $msg .= "Name: $name\n"; $msg .= "Address: $address\n"; $msg .= " $city, $state $zip\n"; $msg .= "Phone: $phone\n"; $msg .= "E-Mail: $email\n"; $msg .= "I can commit to being on time for all calls and/or appointments $on_time\n"; $msg .= "I can articulate my dream $articulate\n"; $msg .= "I am ready to commit to changing my behavior to get the results I want $changing\n"; $msg .= "I honor my commitments $honor\n"; $msg .= "I am willing to \"try on\" new concepts or different ways of doing things $try_on\n"; $msg .= "I will speak straight (tell what's really true) to my coach $strat_talk\n"; $msg .= "If I feel that I am not getting what I need or expect from the coach, I will share this as soon as I sense it and ask that I get what I want and need from the relationship $share\n"; $msg .= "I am willing to eliminate or modify the self-defeating behaviors which limit my success $success\n"; $msg .= "I will commit to the financial investment in myself $investment\n"; $msg .= "I have support from family and friends $support\n"; $msg .= "I really want to get started on my dream $dream\n\n"; $msg .= "Total Score $total\n"; mail($recipient, $subject, $msg, $mailheaders); mail($email, $subject, $msg, $mailheaders); echo "$ferm_block"; } else if ($send == "no") { echo "$name_err"; echo "$phone_err"; echo "$email_err"; echo "$form_block"; } } ?>