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COACHING APPLICATION
What’s your full name? *
Your answer
What’s your e-mail address? *
Your answer
How did you find me? *
Your answer
Where do you live? *
Your answer
How old are you? *
Your answer
What is your relationship status? *
Your answer
What’s your phone number (if you’re international include your FaceTime and/or WhatsApp Number) *
Your answer
What do you currently do for work or business? *
Your answer
Are you willing to share openly and honestly about your life? *
What 3 areas do you want to create a breakthrough in? (ex: finances, career, etc) *
Your answer
What are the 3 things guaranteed to happen if you work with me? (from the video) *
Your answer
What specific circumstances have you reaching out for coaching? Why now? *
Your answer
What do you think is possible in three to six months if you made major breakthroughs and took consistent action toward creating the life you want?* *
Your answer
How long have you been actively working to improve this area of your life?  *
Your answer
What actions have you already tried to attempt to improve your life? Why do you believe they haven't worked for you yet? (Be as detailed as possible.) *
Your answer
How is your physical health? (Energy, body, strength, diet) *
Your answer
How is your social life? (Friendships, social activities, family, community) *
Your answer
How is your career/business? (Where are you now and where are you headed professionally? Are you doing what you love to do? ) *
Your answer
How is your financial health? (Income/revenue, savings/investments, debt. No need for exact numbers, but please provide an overview.) *
Your answer
How is your self-care? (What daily or weekly practices help keep you centered and in touch with your inner guidance and power?) *
Your answer
Are you currently under the care of doctors or therapists for any conditions? (List both medical and psychological treatments.) *
Your answer
Are you aware that coaching is not a substitute for psychotherapy or professional medical treatment?  *
What best describes your situation? *
What hesitations do you have about coaching? *
Your answer
If you are a right fit for coaching, how serious are you about stretching yourself and investing resources (time + effort + energy + finances) into your personal development over the next three to six months? *
Your answer
How will you know if you're receiving value from working with me? What outcomes would make this investment worth it? *
Your answer
What else do you want me to know? *
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