Freedom Coaching Application
Thank you so much for your interest in working with me! I am so excited that you have the desire to fully unlock your purpose, ignite your power and restore your faith & confidence! I applaud your for taking this huge step into mental, physical and spiritual freedom!

Before we get started, please fill out this short application to ensure that this program is a good fit for you. Please answer thoughtfully, honestly, and in as much detail as possible so that I may know how best to serve you.

*Note: Completion of this form does NOT guarantee acceptance into this coaching program. Only applications completed in its entirety will be considered. Please allow at least 24-48 hours for an email response regarding acceptance.
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Email *
Full name *
Primary phone number *
Social Media Handles *
Instagram, Facebook, Twitter, etc.
Professional Occupation *
In addition to job title, please include a brief synopsis of your daily responsibilities.
Why would you like to work with me? *
What are you most in need of right now?
What areas do you feel the most “stuck” or unsatisfied? *
Check all that apply.
Required
What do you feel you need to be set free from in order to live your most abundant and fulfilling life? What’s holding you back? *
What specific goal(s) would you like to accomplish by the time we finish working together? *
How did you hear about me? *
Check all that apply.
Required
Coaching sessions are typically at least 4-5 hours. How much time are you willing to commit? *
Please note: Although our weekly follow up calls are normally about 30 minutes, our Freedom Accelerator Coaching Sessions are typically one 4 to 5 hour long session.
Required
This program starts at $250 per 4-5 hour session. Are you financially ready to make this investment in yourself? *
We understand that sometimes some extra grace is needed, even when investing in your freedom. Will you need a payment plan?
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If you are accepted into this program, how soon are you ready to get started? *
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What is your general availability for an uninterrupted 4-5 hour session? *
Please list daily availability from Monday - Saturday EST.
My desire is for you to experience as much transformation, renewal and freedom as possible during this program AND after its completion. Are you ready and willing to do the work necessary in order to see lasting change in your life? *
The “work” is not limited to our 4-5 hour long sessions together. The person who will benefit the most from this program is one who will invest time and energy into THEMSELVES, completing all assignments in a timely manner.
Is there anything else you’d like me to know?
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