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Coaching Application
1:1 Coaching Relationship application form
Email address *
Which program are you applying for? *
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.
Full Name *
Your answer
Email/Phone *
Your answer
Location *
Your answer
Have you worked with a coach before or a similar one-on-one adult relationship? (e.g. tennis coach, piano, mentor, teacher, and therapist)? *
Your answer
If so, what worked well for you and what did not work in the relationship(s)? *
Your answer
What are your top stressors? (What causes you stress?) *
Your answer
Rate your life satisfaction out of 10. 10 being highest. *
Do you feel connected to your children? *
Your answer
What do you require from me? *
Your answer
What would you be expecting to invest in yourself for this program monthly? *
How will you know you have received your value for money? *
Your answer
What is your favorite quote? *
Your answer
A copy of your responses will be emailed to the address you provided.
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