Application for Coaching
Thank you for your interest in my coaching services. I'm very diligent when choosing people to coach because of the personal nature and deep commitment that is required from both of us to make it a transformational experience for you. It's important that we are a match and I can provide VALUE for you. Because I want you to get the most from your coaching experience, please take the time to thoughtfully fill out this Application for Coaching. It will help us both understand what you want and need to move your life to the next level.

I know this application is lengthy, don't let that scare you or make you feel like you are signing up for something - there is no commitment involved - this is simply the first step that will allow both of us to determine if my services are right for you.

I look forward to learning about you and determining if we are a good coaching fit.

From my mat to yours,
Brooke

RISK FREE DISCLAIMER: This is an application only. By completing this application you are showing interest only and are under no obligation to join one of my coaching programs or make payment.

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Skype ID
Your answer
Phone Number
Your answer
What type of coaching are you interested in? (check all that apply) *
What are you struggling with? What are you tired of thinking or talking about? *
Your answer
What are the 3 biggest obstacles that are preventing you from moving beyond the previously mentioned challenge/s? What's stopping you from getting what you want out of life? *
Your answer
What is it costing you to NOT move beyond the challenge you mentioned to achieve your goals and dreams? Be specific and consider the pain you are or will experience if you don't take action in terms of lost money, time, relationships, family, health and happiness. *
Your answer
What do you feel you need the most help with in your life right now? *
Of those listed above, which one is the most pressing? *
Your answer
What is the greatest outcome you would like to fulfill by working with me? *
Your answer
If we were to meet one year from today, what would have to happen for you to be happy with the progress you've made in your life? *
Your answer
What is your motivation for creating change in your life? WHY do you want to be coached? *
Your answer
Have you ever worked with a coach? If so, what was the structure and what did you like most and least about the experience? *
Your answer
Are you open to deepening your practice of yoga, meditation and mindfulness? Please describe any concerns in these areas. *
Your answer
This work is very personal in nature and requires all those involved to go DEEP into their own self-inquiry. Why do you think you would be an asset to a group coaching program, and/or why do you think we would work well together one-on-one? *
Your answer
What is most important for me to know about you personally before we work together? *
Your answer
What country / state do you live in? Time Zone? *
Your answer
Enrollment fees for my 3 month group coaching programs begin at $1,995. Are you prepared to make a financial investment equal or greater than this at this time? *
Is there anything this application has not covered that you would like to highlight or get feedback on?
Your answer
Do you have any injuries, illnesses or concerns? Specifically, please let me know about musculoskeletal and joint pain, high/low blood pressure, mental illness, heart or artery conditions, if you are pregnant, have recently lost a pregnancy or are trying to conceive, diabetes, and any other major issues. I am not a doctor. You should rely on a physician’s advice for treating these or other issues. However, it is important for me to be aware of your conditions so that we avoid yoga poses and techniques that could aggravate them. *
Your answer
I understand that by filling out this application, I am requesting to be considered for a seat in your (S. Brooke Bailey) group, one-on-one or mastermind coaching programs. At this point in time, I understand I am showing interest only and am under no obligation to join or make payment. Before acceptance, I may be requested to have a brief consultation with you, Brooke, to ensure a 100% win-win situation for both of us. I understand that if I am accepted, after reviewing and submitting my payment contract (supplied after this document is received and approved), I am committed to coaching for the duration of the program I choose. I will ask questions and clarify anything I don’t understand. I am committed to doing everything I need to do to get 100% from the coaching program I choose. I understand that a separate payment contract will be submitted to me for my review after this application is accepted. By entering my name in the space below, I agree to the terms above and submit my application for review: *
Your answer
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