Application to Work with Pat Stedman
Here's where you share with me anything and everything about your life that you might want to explore should you and I enter into a coaching relationship. Where are you at right now? Hold nothing back - everything is confidential, and I can only help you as much as you're willing to be open and help yourself.

After reviewing your application, if you and I are a good fit, you'll receive an email from me within 3 business days to schedule a 1-on-1 discovery session so I can find out more about you and see if/how I can help you. Keep in mind I only have a limited amount of space in my schedule and only take on a limited number of clients at any given time in order to ensure they have my undivided attention. Applications are sorted in the order that they were received and from most to least qualified.

Please fill out the following boxes - I look forward to hearing from you!

Full Name
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Full Name
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Best Email to Reach You
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What's your Phone Number?
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What's your Skype Username?
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What Country Do You Live In / Time Zone? (GMT)
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Now answer for me a few questions about the CURRENT status of your life and your satisfaction with it:
What is the SINGLE biggest challenge or frustration you've been dealing with when it comes to women?
Your answer
What is the MOST IMPORTANT goal you have in dating / relationships?
Your answer
What do you think is the biggest obstacle stopping you from achieving that goal?
Your answer
How would you feel if you achieved that goal?
Your answer
On a scale of 1 - 10, how important is it for you to reach the goals you mentioned above?
Your answer
About You:
Tell me about yourself
What do you do for work? For fun? How would your friends describe you?
Your answer
What's Your Attitude Towards Women?
Your answer
Describe The Sort Of Woman You're Attracted To
Everything about her, not just the looks.
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Over the next year, what are three areas in dating / relationships that you would like to achieve massive progress in?
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If we were to work together, what would have to happen for you to feel happy with your progress, both on a personal and professional level?
Your answer
How much money do you have set aside right now to enter into a coaching relationship that will help you live the life you want?
Complete the following sentence, "Pat, in practice I am a(n)..."
If you are a right fit for the type of clients I work with and are invited to have a coaching relationship with me, I want your results to change your life. Why should I choose you? Why should you become my next success story?
Your answer
Pat, if I decide to work with you AND I am selected, I can find a way to invest in my future with NO DRAMA, no delays, no excuses, and will take full responsibility for my transformation with a focus on just getting results.
Anything else you'd like for me to know about you?
Don't be shy.
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