Private Coaching Application
Email address *
What is your name *
Your answer
Have you ever worked with a coach before? *
Tell me 5 things I need to know about you *
Your answer
Tell me about your business or job *
Your answer
What are you looking to create in your life right now? *
Your answer
On a scale of 1 - 5 (5 being super serious), How serious are you about investing time, money, and energy into creating the life you want? *
Interested
SO SERIOUS!
What level of monthly financial investment you are prepared to make at this time? *
What area do you feel like you give the least amount of consistent attention to in your life? *
When was the last time you did something for yourself, something that makes YOU happy? And what was it? *
Your answer
If you could describe your life right now using one word, what would it be? *
Your answer
What are you looking for from a coach? *
Your answer
What made you reach out about coaching right now? *
Your answer
Lastly, when you hear the word "Mindset"..what do you think of? *
Your answer
Thank you for taking the time to fill out this form!
This helps me get a good feel for where you're at and what you're looking for in a coach. It's important to me that not only are you a good fit for me, but am I truly a good fit for you as well. I don't work with every applicant simply because I refuse to go into any agreement where I'm not positive it's a great match and we can make the changes you're seeking together. I look forward to reviewing your responses and will be back with you shortly for next steps. Please make sure you add my email adress to your contact list so my message makes it to your inbox (me@jamiethurber.com)

-Jamie

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