The 1-ON-1 COACHING PROGRAM APPLICATION
Thanks so much for filling out this application for our Exclusive ONESHOT. ONELIFE. 1-On-1 Coaching with Doug Fitzgerald. We look forward to hearing from you.

Once you have completed this application you will hear back from us within the next 24-72 hours. If we feel you are a good fit for our 1-On-1 Coaching Program, we will set up a follow-up meeting between you and Doug to get you started.
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Email *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone Number *
Do you have a functioning camera, mic, and speakers on your computer/ipad/phone... for video conferencing? *
What two days of the week work best for you to meet? *
What time of the day works best for you to meet?
Clear selection
What is your age?
What is your gender?
Clear selection
Which of the following areas in your life would you like to improve upon? *
Required
What are two important priorities you are wanting to achieve in the next 12 months? *
What is your biggest challenge in life right now? *
What is something you have accomplished in the past 12 months that you are proud of? *
Tell us why you want to join our 1-On-1 Coaching Program? *
Anything else you want us to know?
Who referred you?
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