Coaching Application - 12-Week Support

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NOW ACCEPTING 1-1 COACHING APPLICATIONS

Ready to embark on a transformative journey to breaking free from the modern overwhelming stress and self-sabotage that might be holding you back?

Are you ready to feel that liveliness by embracing your inner strengths and power?

If yes, the 5-Step Coaching Program I have created is just for you.

Gain practical tools, guided exercises, and expert insights to cultivate and embrace a more balanced and fulfilling existence.

-Admission for coaching is through a 2-Step process: First, you'll complete this application form. This will determine if your needs match what's being offered.

I will then invite you for a complimentary call (phone or zoom), where you'll have the opportunity to ask questions, get more information, or ask for any guidance with absolutely no strings attached.

If the program is not a good fit, I will be happy to suggest other options to support you.

Email *

First and Last Name *

City, State/Province, Country *

Tell us (in 2-3 paragraphs)

What are you hoping to achieve?

What do you feel is stopping you from making lasting changes?

Please provide as many details as you like for us to determine your needs and interests.

Have you received any coaching before? *

What topics are most important to you? (Check all that apply) *

Trust Issues

Emotional Regulation

Healthy Relationships

Overall Wellbeing

Work/Career Success

Self-Care, Self-Love/Esteem, Self-Empowerment

Other:

Required

Please confirm: Participation in coaching requires a commitment to high standards for courtesy, mutual respect, privacy protection-confidentiality.

While it's ok to mention one's own appreciation of personal interests or beliefs, we don't "push" any particular therapy, religion, philosophy, book, or movement from this end.

Yes I understand and agree to this summary of terms.

Please confirm: You understand that Coach Jeimy Paz is not a therapist or clinician and that this coaching program is not a substitute for psychological or medical help. It is for transformational information/educational purposes only.
*

Yes, I understand

Other:

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