Coaching Application
This coaching application is the first step toward reaching your goals! Please answer the questions below so I can get to know you, understand your goals, and determine if coaching is the right fit for you! I'll personally follow up within 24-48 hours after you submit your application.

Spots are limited - once they're filled, applications will close!
Sign in to Google to save your progress. Learn more
What is your first & last name? *
Please include your phone number and/or email address for follow up contact: *
Part of your coaching membership includes reminders sent 2x/week. These reminders would be via text from an app called Telegram. You will also be added to a group chat! *
Please describe 1 or 2 (max) goals or dreams you want to start and/or work on with me: *
Have you started these goals already? Explain any work or progress you have currently made: *
How long have you had these goals? What do you think has gotten in your way? *
How will your life change when you reach these goals? How will you FEEL? *
How will things feel if nothing changes and you don't go after what you want? *
What makes now the right time for you to commit to coaching & finally lock in on your goals? *
Do you understand that you are joining the Beta program for Luminous You Coaching. This means you get a discounted rate (FOR LIFE) in exchange for program feedback, and testimonials of your experience? *
Do you understand that this is accountability coaching - I'm here to help you focus, brainstorm, create an action plan & follow through. Your progress and results are 100% up to you & the effort you put in! (I recommend a minimum of 3 months of coaching to make progress & see results.) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms