SnS 1 on 1 Coaching Registration
Thank you for taking this leap of faith and allowing us to work with you to help draw out your maximum potential and live your life with a new level of effectiveness.
SnS 1 on 1 Coaching is a monthly program where individuals will work with a SnS Game Changer on a weekly basis for a minimum of 4 weeks, learning and applying the mental habits and daily routines of the world's most effective and successful individuals.
Please complete the following fact finder to get started on the path to transform your life.
* Required
Client's First Name
*
Your answer
Client's Last Name
*
Your answer
Client's Email Address
*
Your answer
Client's Phone Number (eg: 8764441234)
*
Your answer
Client's Gender
*
Female
Male
Client's Marital Status
*
Single
Married
Divorced
Widowed
Other:
Client's Date of Birth
MM
/
DD
/
YYYY
Client's Current Country of Residence
*
Jamaica
USA
Canada
Other:
Client's Current Occupation/Employment
*
Student
Unemployed
Self-Employed
Manager
Business Owner
Sales
Marketing
Administration
Education
Professional Athlete
Entertainment Industry
Hospitality Industry
Retail Industry
Legal Industry
Financial Services Industry
Retired
Other:
Client's Place of Employment/ School
*
Your answer
Do you have a preference to in person or virtual sessions?
*
I would prefer if my sessions were in person
I would prefer if my sessions were virtual
I have no preference
What day and time would you like to schedule your 1 on 1 coaching sessions for the next month? NOTE: Coaching Sessions are booked 1 month (4 sessions) at a time. (Please select a minimum of 3 time slots)
10:00AM
11:00AM
12:00PM
1:00PM
2:00PM
3:00PM
4:00PM
5:00PM
Tuesday
Wednesday
Thursday
Friday
10:00AM
11:00AM
12:00PM
1:00PM
2:00PM
3:00PM
4:00PM
5:00PM
Tuesday
Wednesday
Thursday
Friday
If none of the above days or times are convenient, please provide a more suitable day and time below. *NOTE* - Writing an alternative day and time does not guarantee a coaching session at that time, however we will do our best to work with your preferred time.
Your answer
Are you filling out this form as the client or on behalf of the client?
*
I am the client
I am not the client
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