1-on-1 Coaching Application with Stefano
I only work with a few clients at a time to ensure the best possible experience for each client. Please complete the application below to help me get a better sense of what your specific goals and challenges are.

After reviewing your application, if I think we might be a good fit, I'll contact you within 2 business days to let you know how to proceed.

* I want to learn as much as possible about you so that I can provide you with the most value for your specific needs. Please be detailed and specific with your answers.

First Name *
Your answer
Last Name *
Your answer
Email *
I will reach out to you through this email address. Make sure it's the best address to reach you.
Your answer
Skype Username *
Your answer
Phone (only to be used in the case that you don't have Skype) *
Your answer
Birthdate *
MM
/
DD
/
YYYY
What are the top 3 things you're currently struggling with? *
Your answer
Of those 3, which do you want to change the most? Why? *
Your answer
What have you tried doing in the past? What has worked for you and what hasn't worked? *
Your answer
What's the #1 goal that you'd like to accomplish in the next 3-6 months? *
Your answer
Why haven't you accomplished that goal yet? (Seriously...) *
Your answer
Financial resources: *
Anything else you'd like me to know before considering you?
Your answer
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