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Private Coaching Application
Email address *
What is your name *
Your answer
Have you ever worked with a coach before? *
Tell me 5 things I need to know about you *
Your answer
Tell me about your business or job *
Your answer
What are you looking to create in your life right now? *
Your answer
On a scale of 1 - 5 (5 being super serious), How serious are you about investing time, money, and energy into creating the life you want? *
What level of monthly financial investment you are prepared to make at this time? *
What area do you feel like you give the least amount of consistent attention to in your life? *
When was the last time you did something for yourself, something that makes YOU happy? And what was it? *
Your answer
If you could describe your life right now using one word, what would it be? *
Your answer
What are you looking for from a coach? *
Your answer
What made you reach out about coaching right now? *
Your answer
Lastly, when you hear the word "Mindset"..what do you think of? *
Your answer
Thank you for taking the time to fill out this form!
This helps me get a good feel for where you're at and what you're looking for in a coach. It's important to me that not only are you a good fit for me, but am I truly a good fit for you as well. I don't work with every applicant simply because I refuse to go into any agreement where I'm not positive it's a great match and we can make the changes you're seeking together. I look forward to reviewing your responses and will be back with you shortly for next steps.


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