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Training Application
Please fill out the application below and I will be in touch with you if you qualify for your free Discovery Session.
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Full Name
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Your answer
Age
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Your answer
E-mail address
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Your answer
Phone Number (FB if outside US)
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Your answer
Current City
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Your answer
Occupation
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Your answer
Yearly Income
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Less than $50,000
$50,000 - $100,000
More than $100,000
How did you first hear about me?
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Your answer
What is your most important dating goal?
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Your answer
What is your #1 single biggest challenge when it comes to dating?
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Your answer
What in your life would be different if you achieved your dating goal?
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Your answer
On a scale of 1-10 how serious are you about achieving your dating goals?
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not that serious
1
2
3
4
5
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7
8
9
10
I'll do whatever it takes and settle for nothing less
have you had training before? If so with who and when
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Your answer
What type of training are you looking for from me?
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Your answer
Budget For Training
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How much can you invest for that training to get this area of your life handled?
Your answer
Why should you be accepted to work with me?
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I receive many applications but only have a limited number of spots available due to the 1-on-1 nature of my coaching. Please tell me why you'd be a good fit?
Your answer
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