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1:1 Coaching Relationship application form
Which program are you applying for?
Monthly Subscription - Customised
Monthly Subscription - Leadership
Monthly Subscription - Parenting
Group Program please list below
The questions on this form will show me where you are in your journey and what I can do to support you. There are no right or wrong answers. This form is completely confidential.
Have you worked with a coach before or a similar one-on-one adult relationship? (e.g. tennis coach, piano, mentor, teacher, and therapist)?
If so, what worked well for you and what did not work in the relationship(s)?
What are your top stressors? (What causes you stress?)
Rate your life satisfaction out of 10. 10 being highest.
Do you feel connected to your children?
What do you require from me?
What would you be expecting to invest in yourself for this program monthly?
$250 to $500
$501 to $1000
$1001 to $2000
How will you know you have received your value for money?
What is your favorite quote?
A copy of your responses will be emailed to the address you provided.
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