Application for Private Coaching
Hello.
Thank you for your interest in the private coaching program.
All applicants will be interviewed for acceptance into this exclusive program. Please fill out the below application in completion. Be detailed and thorough with your responses.
Once your application is received, expect to be contacted within 5-7 business days.
Email address *
Today's Date *
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Full Name *
First and last name
Your answer
Address *
Your answer
Date of Birth *
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What is your best contact number? *
Your answer
Why are you seeking to enroll in private coaching? *
Your answer
What is your main pain point that you would like to address? *
Your answer
Why is this matter so important to resolve? *
Your answer
What are your expectations for coaching? *
Your answer
Have you worked with a coach before? *
How many coaches have you worked with in the past? *
Your answer
If you have worked with a coach, what was your experience? If you have not worked with a coach type, not applicable. *
Your answer
What strategies have you tried before deciding you need to schedule this call? *
Your answer
What were the results of your own strategies? What worked? What didn't work? *
Your answer
Do you have any limiting beliefs or life blocks that are holding you back? If so, discuss them below. If you think you don't have any just comment NOT APPLICABLE. *
Your answer
Do you have a support system? How do they help? How do they not help? *
Your answer
If you could manifest your desire today what would it look like? *
Your answer
Why do you think you have not manifested this desire? What do you think is hindering you from actually living it? *
Your answer
How do you picture a successful completion of this coaching program? *
Your answer
What could be potential hindrances in you accomplishing your assignments? Examples include procrastination, lack of time management, mindset, etc. *
Your answer
Are you at a place to remove those hindrances and move forward to your breakthrough? *
Are you open and willing to implement new strategies from our sessions? *
Are you willing to do the homework and use the resources if given to you? *
Are you willing to be optimistic? *
Would you like follow up emails after your sessions as well as shared content, information, and marketing materials? *
How much are you able to afford to invest in yourself *
When will you be able to start coaching? *
What are the best days to contact you? *
Your answer
What is the best time to contact you? *
Your answer
What is your best contact number? *
Your answer
What is your best contact number? *
Your answer
A copy of your responses will be emailed to the address you provided.
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