BALANCE AND SHINE: GROUP COACHING APPLICATION
Please read before you apply:

Filling out this application puts you into the waitlist for the Balance and Shine Group Coaching Program, designed to help you lose weight, build confidence and start showing up in the rest of your life as the most empowered and unstoppable version of yourself.

This program is for women who are ready + serious about investing into their health, happiness and future self.

This isn't for everyone. By filling this application out, it will help us determine if you'd be a good fit to join us.

** If you are approved, you'll receive an email confirmation and a link to schedule an interview phone call **

You will gain a ton of value from the interview alone. Be prepared to have all of your excuses and stories demolished. Can't wait to chat with you .**
Full Name *
Your answer
Email address *
Your answer
Age? *
Your answer
Phone Number *
Your answer
Instagram Handle *
Your answer
How did you find out about the program? *
Your answer
What is your biggest goal right now and why? The more raw honesty you have here, the more I can help you get results! *
Your answer
What is holding you back from achieving that goal? Share as much as you can, think about limiting beliefs or any self-sabotage you are currently experiencing. *
Your answer
Fast forward 6 months to a year. What would success feel like? What would success look like? *
Your answer
How urgent is your goal? *
not that urgent
extremely important, i've been wanting it for a while
Why did you choose that number? *
Your answer
Why do you want to be a part of this coaching program? And why should we choose you over the other applicants? *
Your answer
Why do you think you and Sam would work well together? *
Your answer
Have you ever been part of a group coaching program before? If so, what did you enjoy most? What did you not like? *
Your answer
If it's not a HELL YES, it's a hell no. If we get on a call and it's a HELL YES to work together, are you willing to make an investment in yourself to hire a coach? *
Your answer
Before your application can be considered, please agree to the following terms: I (applicant named above) agrees to be 100% open and coachable during our call. I agree to be fully present on the call, to listen intently, and be willing to take action! *
Required
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