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?
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What is your age?
What is your gender?
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Which of the following areas in your life would you like to improve upon? *
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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