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Coaching Application With Renee
This is your application to know more about the opportunity to work with Renee Slansky and her exclusive coaching

If your application is successful you will be contacted directly by Renee or one of her team to schedule in your complimentary session to discuss the next step of moving forward with the program.

Please note not everyone will be accepted and that working with Renee is an investment of time , energy and finance in order to bring you sustainable progress and peace along with instant and long term results.

Please only apply if you are ready to level up in this area of your life.

Contact us at if you have any questions

Thank You!

Renee and Team
Email *
First Name *
Last Name *
Gender *
I am interested in *
Current marital status *
What do you want achieve in your love life in the next 3-12 months *
What are your 3 biggest struggles with love and dating right now? *
What are you looking for? *
Why do you want to cultivate more love in your life? *
If single ,what is your preferred way to meet someone? *
Describe your ideal partner in 5 words *
Describe your ideal relationship in 5 words *
On a scale of 1-10 where is your self love levels? *
Extremely low
High and filled up!
On a scale of 1-10 where is your confidence levels when it comes to dating and making the right decisions? *
Extremely low , have no idea!
Very confident , I trust myself
On a scale of 1-10 where is your confidence levels when it comes to choosing the right person ? *
Extremely low , have no idea!
Very confident , I trust myself
Why do you want to get help in this area? *
How confident are you with your sense of purpose in life? *
Where would you say your level of fulfilment and happiness is at the moment? *
Non Existent
Extremely happy and fulfilled
Are you ready to deal with your past pain in order to grow and get breakthrough? *
Are you ready to step out of your comfort zone if it means reaching you goals? *
Are you ready to receive a shift in your identity to a positive confident person worthy of love? *
Why do you want to work with Renee? *
Why do you believe you are still struggling with love? *
What areas do you feel you need most help in? *
How much time do you have to invest into this area of your life? *
How much are you willing to invest into this area ? *
Would you like a payment plan as an option?
Clear selection
What it mean to you to finally have breakthrough in your love life and live in a happy , healthy relationship? *
Clear form
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