Section 1 of 1
The Reinvention Blueprint: Empowerment Coaching for High-Performing Divorced Women
Thank you for your interest in The Reinvention Blueprint: Empowerment Coaching for High-Performing Divorced Women. This high-impact coaching program is designed to create profound and lasting transformation in your life. Please answer the following questions thoughtfully to help us assess your readiness and commitment to this journey.
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I. Personal Information
I. Personal Information
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Full Name
Full Name
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Email Address
Email Address
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Phone Number
Phone Number
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1. How long have you been divorced?
1. How long have you been divorced?
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2. What is your biggest struggle right now? (Select the one that resonates most with you)
2. What is your biggest struggle right now? (Select the one that resonates most with you)
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Rebuilding my confidence after divorce
Managing stress and overwhelm while juggling multiple responsibilities
Finding clarity and direction for my next chapter
Letting go of past pain and moving forward
Balancing personal life and career demands
Feeling isolated or lacking a supportive community
Other:
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3. What have you done so far to address this struggle?
3. What have you done so far to address this struggle?
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Therapy
Group support (e.g., divorce support groups)
Self-help books or online resources
Personal development workshops
Meditation or mindfulness practices
Journaling or personal reflection
Other:
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4. Describe your journey of healing so far. What has worked for you, and what challenges have you faced?
4. Describe your journey of healing so far. What has worked for you, and what challenges have you faced?
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5. On a scale of 1-10, how committed are you to your personal growth and transformation?
5. On a scale of 1-10, how committed are you to your personal growth and transformation?
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Not very committed
Fully Committed
0
1
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10
1
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10
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6. How much time per week are you willing to dedicate to your healing and transformation journey?
6. How much time per week are you willing to dedicate to your healing and transformation journey?
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Less than 2 hours
2-5 hours
5-10 hours
More than 10 hours
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add "Other"
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7. How ready are you to invest in yourself and your healing journey?
7. How ready are you to invest in yourself and your healing journey?
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I am fully prepared to invest the necessary time, energy, and financial resources to achieve my goals.
I am somewhat ready but have some concerns about the investment required.
I am unsure if I have the financial resources to invest in my healing at this time.
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add "Other"
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8. What is your monthly take-home pay?
8. What is your monthly take-home pay?
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Less than $5,000
$5,000 - $10,000
$10,000 - $15,000
$15,000 - $20,000
More than $20,000
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add "Other"
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9. What financial resources do you currently have available to invest in this high-impact coaching program?
9. What financial resources do you currently have available to invest in this high-impact coaching program?
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I have sufficient financial resources to invest without concern.
I may need to adjust my budget or explore payment options to afford this investment.
I am unsure if I can afford this investment at this time.
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add "Other"
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10. What do you hope to achieve by the end of this program?
10. What do you hope to achieve by the end of this program?
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11. Have you participated in any other coaching programs before? If so, what were the outcomes?
11. Have you participated in any other coaching programs before? If so, what were the outcomes?
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12. Why do you feel now is the right time for you to join The Reinvention Blueprint?
12. Why do you feel now is the right time for you to join The Reinvention Blueprint?
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13. Is there anything else you would like us to know about you or your journey?
13. Is there anything else you would like us to know about you or your journey?
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Thank you for completing the application. We will review your responses and get back to you within 24-48 hours to discuss the next steps.
Thank you for completing the application. We will review your responses and get back to you within 24-48 hours to discuss the next steps.
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