Mom Coach Wife Booking Form
This form is step 1 to booking an 1:1 session with Alena Michelle. Completing this step allows me to know if we will be a good match. While I want to help everyone, I will not accept a client that I don't believe I can help. If I choose not to work with you for any reason I will attempt to find someone who can help you. Why? Because I love seeing people succeed and I know that I'm not always the right person for the job although I strive to be the right fit more often than not. Upon completing this form I will reach out to you via email to schedule a free consultation and get you started in the program that best fits your needs.
* Required
Email address
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Your email
What is your full name?
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Your answer
What's the best number to reach you at?
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Many of my programs include follow up via text/phone calls.
Your answer
Are you a mother?
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I do work with women who are not mothers. However my expertise is in balancing motherhood with other roles.
No kids this way
Yes, but I"m more than a mom!
Expecting
Do you have a specific program that brought you here?
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90 Day Balance Bootcamp
1:1 Coaching
No
Yes but I don't remember what it was
When you hear/read the word balance what comes to mind?
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Your answer
Why do you want to work with me?
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Your answer
What do you wish to accomplish from working with me?
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Your answer
When are you available to start?
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MM
/
DD
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YYYY
What kind of services are you looking to book?
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Group Coaching
Online courses to take at your own speed
Intensive Balance Bootcamp
1:1 Programs focused on specific stages in your journey
Other:
Required
Where did you hear about Mom Coach Wife/The Balanced Mom?
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Referral
Facebook
Momcoachwife.com
Youtube
Instagram
Other:
I usually recommend that my clients work with me for 90 days for best results, with an exception for those participating in a shorter term program. Are you ready to commit to 90 days of hard work changing your mentality and day to day life?
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Balance takes commitment and accountability is a skill that is learned through consistency. It takes 21 days to create a habit but 90 to create a lifestyle. My goal is to change your life!
Oh no, too much commitment
I might be able to do that
100% I'm ready for this change!
My programs, sessions and courses range from $15-$900 are you financially prepared to expense up to $300/month for the next 3 months?
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Your budget will help me determine what option will be best for you.
No even $15 is too much for me
I could do $15-500 for sure
$900 is a bit steep I could meet you somewhere in the middle of that range
Only $900! What are we waiting for?
If you have a discount code you can enter it now.
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Occasionally I offer discounts when I participate in various events. If you don't have one please enter N/A
Your answer
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