Private Coaching Application

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Private Coaching with Dr. Kimberly Rose Pendleton

Email *

Name *

First and last name

Email *

Instagram handle *

What are your desires for private coaching? *

What elements of your life are you hoping to change, expand or improve? *

What are your biggest dreams for your life? *

How do you feel about your body? How do you feel about your intimate life? *

Private coaching with Dr. Kimberly is a deep connection and commitment. If you are determined to be a good fit for private coaching with Dr. Kimberly, are you prepared to begin right away? *

Would you prefer:

a 3 Month Commitment {$15,000}

a 6 Month Commitment {$25,500}

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Is there anything else you want Dr. Kimberly to know about you as she considers your application? *

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