Work With Me Application
The following questions will help me best assess if a one on one coaching package is a good fit for your goals and what you're looking to achieve. 

Once complete, please allow 24 hours for a follow up (text or email) so we can schedule a time to talk through specifics about the potential of moving forward. 

Important: God is my CEO in everything I do and will be part of any coaching program we may embark upon.
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Email *
Name *
Country of residence *
Date of birth *
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Cell phone number *
Occupation *
What are your hobbies *
What are the top 3 things (in any category) that you'd like to achieve over the next year? *
What are your faith goals in regards to your relationship with the Lord over the next year?

(Ex: I want to have a 30 minute quiet time each morning. 
I'm looking to make prayer part of more of my day.
I want to memorize more scripture, etc...

What are you hoping to achieve by working together (be very specific) *
What is your timeline for reaching your goals?  *
Where is your energy on this scale with 1 being the lowest possible and 10 being the highest possible: *
Terrible...I'm barely functioning
Amazing! More energy than I know what to do with!
What physical limitations do you have, if any? *
What are you currently doing for physical activity, if any? *
Do you have any dietary preferences or restrictions? *
How much time per week are you able to commit to reaching your goals?  *
What do you feel has prevented you thus far from reaching your goals? *
Do you have people in your life who will support the time and financial commitment it will take to achieve all that you desire to achieve in our time working together?


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What would you be willing to spend in the course of the next year in order to reach the milestones of health in the following areas: 
improved energy, an elevated mindset, increased mobility, & fitness/nutrition accountability?

If choosing "other" please provide an amount per year OR per month.
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What else would you like for me to know about you? 
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