Your Next Step Intensive Private Coaching & Counseling Application

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Your Next Step Intensive Private Coaching Application

Thank you for your interest in the Your Next Step Intensive with Marlow Jones. This private coaching experience is designed to help you gain clarity, confidence, and a personalized plan for moving forward with intention and faith. Please complete this application thoughtfully.

Email *

Full Name

Email Address

Phone Number

City & State

Age Range

18–29

30–39

40–49

50–59

60+

Clear selection

Which statement best describes where you are today?

I feel stuck.

I know I need to make a change.

I'm facing a major life transition.

I need clarity before making a decision.

I'm rebuilding after disappointment.

I feel called to something greater.

I'm ready for personal growth.

Other

Clear selection

What prompted you to apply for this coaching intensive?

If you could change one area of your life right now, what would it be?

Areas You'd Like to Focus On (Check all that apply.)

Purpose

Confidence

Relationships

Marriage

Family

Faith

Career

Leadership

Boundaries

Communication

Decision Making

Emotional Healing

Personal Growth

Life Transition

Ministry

Business

Time Management

Other

Readiness Assessment (1 = Strongly Disagree, 5 = Strongly Agree)

I am ready to make meaningful changes in my life.

I am willing to receive honest feedback.

I am open to seeing my situation from a different perspective.

I am willing to be challenged respectfully.

I understand that lasting change requires action.

I am prepared to invest time into my personal growth.

I take responsibility for the decisions I make.

I am committed to following through on action steps.

I am ready to make meaningful changes in my life.

I am willing to receive honest feedback.

I am open to seeing my situation from a different perspective.

I am willing to be challenged respectfully.

I understand that lasting change requires action.

I am prepared to invest time into my personal growth.

I take responsibility for the decisions I make.

I am committed to following through on action steps.

Clear selection

Imagine six months from now. What would success look like for you?

What do you believe has been preventing you from moving forward?

What strengths do you believe you already possess that will help you succeed?

What fears, concerns, or obstacles are currently holding you back?

What are you hoping to gain from working with Marlow? (Check all that apply.)

Clarity

Direction

Accountability

Biblical Perspective

Confidence

Decision Support

Encouragement

Strategy

Personal Growth

Prayer

Other

Are you willing to complete reflection exercises or action steps between sessions if recommended?

Yes

Clear selection

How would you describe your commitment to your own growth?

I'm all in.

I'm committed but know it will stretch me.

I'm exploring whether I'm ready.

I'm not sure yet.

Clear selection

If accepted into this coaching experience, are you prepared to invest in yourself financially as well as personally?

Yes

I would like more information before deciding.

Not at this time.

Clear selection

Why do you believe now is the right time for your next step?

Is there anything else you would like Marlow to know about you or your journey?

A copy of your responses will be emailed to the address you provided.

Submit

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