Mindset Coaching Application

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Application for Mindset Jitsu Coaching

Email *

First Name *

Last Name *

How did you first interact with Mario? *

What is your definition of mindset? *

How many hours per week do you think you can commit to working on your mindset? *

One hour or less

2-3 hours

More than 3 hours

Would you prefer a monthly or quarterly coaching membership? *

I prefer to invest $4000 per quarter (4 calls per month paid every quarter)

I prefer to pay monthly $1500 per month (4 calls per month with 3 month commitment)

I prefer to pay monthly $850 per month (2 calls per month with 3 month commitment)

I can't afford a membership at this time

Do you know what your mindset hurdles are? *

Yes, I'm clear on my mindset hurdles, setbacks, and goals

I have some idea, but I'd like help defining it

I have no idea

If you could focus on one area to build a stronger mindset in, what would that be? *

Spiritual

Emotional

Mental

Physical

Other:

What do you do professionally? *

Do you need mindset coaching in business or life? *

How long have you been searching for a coach? *

3 months or more

2-3 months

1-2 months

Less than 1 month

What value are you looking for through coaching? *

Send me a copy of my responses.

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