Welcome to Transformational Life Coaching:

Your life is a work of art.  The decisions you make to explore and move forward with ease and effortlessness will serve everything about how you show up for yourself and others.

Take all the time you need in answering these questions.  This exercise is an opportunity to think about your soulful success and give you clarity about the best possible ways to build your business.  (Even if you don't qualify for a session, I guarantee that you will come closer to deeply connecting with what needs to be changed so that you are on target for a great year).  

After I review your form, I will send you an email to confirm a session, or if we are not a fit to work together, I will send you some great tools to get you started on your soul's path for success.  If for some reason you don't hear from me right away, please contact me through the email address: with the word "connect" in the subject line and I will get right back to you.

Please answer these questions for our Clarity Breakthrough Session:  first copy and paste into a word doc, and answer the questions I have for you.  (Please  print it to keep a copy for your records).  Then send the form to me in an email to:

Here we go:

Tell me about your life: do you wake up excited every morning knowing exactly what you want to do in your day, or do you have some worry and doubt about yourself and your prospects?

What would you say are your biggest concerns for your "Circle of Wellness"?

Physically I am experiencing:

Emotionally I am troubled by:

Mentally I keep repeating:

Financially I still haven't gotten a handle on:

Spiritually my aspirations are to:

Tell me about your current business. Who do you work with and what is the core transformation that you offer?  What are your clients struggling with and what results do they achieve by working with you?

How long have you been in business?  Are you working with clients right now?  Are you happy with the number of people you see as well as the kinds of offers you have for them?  (If you have a dream or vision and are just starting out, no worries; our session will help you bring clarity to your new idea).

 What do you dream your business to look like in its healthiest manifestation?  (If  you could wave your magic wand over it and instantaneously bring about your vision, what would your business look like tomorrow?)

What do you think is getting in the way of that picture not being a reality already?  What is getting in your way from having this dream now?  What are the major challenges holding you back from growing at the pace you want?  What specifically held you back from achieving your goals last year?

What are the areas where you could use more support from a coach? (Write Yes or No under each headline)

My personal health and wellness:

Intuition Development for my Full Flourishing Business:






Are you currently working with a coach or mentor?   Have you worked with a coach in the past?  Please list the coaches, healers, and mentors you have worked with in the past few years, along with any programs you have purchased, or events you have attended that were specifically about growing your business and clearing the obstacles to having a prosperous life.

What do you think you need to shift within yourself to create your best year ever both in your business and life?   (Please dream big here).

Are you ready to invest a reasonable amount of time, energy, and money at this time in order to create a thriving and successful business and lifestyle?

Where would you like your life to be in 3, 6 and 12 months?

3 Months from now I want to have accomplished:

6 Months from now I want to have accomplished:

12 Months from now I want to have accomplished:

On a scale of 1-10, how important is it for you to achieve the goal of a sustainable and lucrative life or business now?  What has stopped you in the past?

Please enter your business website address if you have one. (I would love to help you activate a very successful online presence, and also help you with social media strategies to bring more exposure to your business,  so for me to see your site before our conversation will be very helpful).

Is there anything standing in the way of you taking powerful, committed action to move forward on the dream of your ideal business and lifestyle now?  Time, money, previous commitments, resistance from a spouse, all of the above?

What do you think would happen in your life if all of those objections were no longer a problem for you?  My job is to help you start removing the obstacles to living life on your terms.

I am happy to assist you in this process!  Please give the conversation at least an hour with no other distractions, so that we can go as far as possible in the time we have together.  If for some reason you have to cancel, please give me 24 hour notice, to honor the time I am setting aside for us.

Coaching is a profound journey into your soul’s map for  success.  By working with the spiritual as well as the practical and energetic levels of your business mastery, you can achieve far better results because you are activating the resources that exist already inside of you.

Often untapped, and so not used, these spiritual resources are the secret sauce of your business success.  Also known as your inner guidance system, or intuition, these resources are available to you 24/7. 

They have created a successful and very lucrative business for me, and I will help you too create the same success that I have had. 

I will promise to use all of my training of more than 30 years, and my intuitive healing and mentoring skills to help you reach your goals in the fastest and most promising manner possible.  I am proud to have worked with  an elite group of highly sensitive and gifted Entrepreneurs over the years, but I understand that any relationship has to be a good match, so your candor in our conversation will be much appreciated.  During our time together it is quite possible for you to move closer to your ideal business and life even if we choose not to work together.

I look forward to hearing from you, so until then, dream big!  

Remember to copy/paste onto a doc, then answer the questions as truthfully as you can, and send to  If you have any problems doing this, please reach out to me and I will help you.
Thank you so much, and I am making room for you in my schedule, for a completely COMPLIMENTARY Clarity Breakthrough session.  Please allow at least an hour for our time together, so we can dig deep into your needs for a soul-filled, successful future!  


Diane Sussman; Author, Speaker,Transformation Coach and Body-Mind Mentor to Women yearning to express their larger Vision.