Intake Form |  1:1 Relationship Coaching With Wajeeha Amin
Hello and thank you for your interest in joining the coaching programme that will transform your life ❤️.

Please fill out the questions below as honestly as possible (all information provided is treated as private and confidential). 

I will then be in touch with next steps!

Love and Duaa's
Wajeeha x
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Contact telephone number *
Where are you based in the World? *
Why is now the time to invest in your love life (and in a coaching programme like this)? *
What have you tried before to solve this challenge? (e.g. therapy, counselling, books, worked with a coach, online courses)
 *
What is important for you in a mentor coach.  Why do you think I will be a good coach for you? *
If you have worked with a coach before, what was your experience?
If you were to fast forward to the end of our work together and say  "This is the best decision I have ever made"  What would need to change in your life? *
Preferred session times via zoom *
The 1-1 coaching programme investment starts from £500 a month. *
Make a decision today that your future self will thank you for.

Because you are your best investment and your greatest love story is yet to be written ❤️ .
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