Application Form
Hello.
This application is for those of you interested in working with me in my individual life coaching program. It is intended to provide me with information about you and your goals, a bit about the work you have already done, and your willingness to achieve those goals. It will help me to see if and how I can support you in reaching those goals.
I also see these questions as something that might allow you to get more clear on what you are looking for and how determined you are to get where you want to go :)
After reading through your answers, I will send you an email. If I see I can support you on your journey, I will prepare an offer best suited for your needs and invite you to an initial consultation. If I see we are not a fit to work together, I will prepare some recommendations that might suit you better.
In case you would prefer to send your answers written in an email, you are welcome to do so and email them to
manca@mancaklinar.com
.
Privacy Statement:
I will keep all the information you trust me with private and only use it to see if we can work together. If we reach an agreement to cooperate, I might use the information to support you on your journey. If we don't agree, I will delete the data.
I act in accordance with the General Data Protection Regulation (GDP Regulation) and the existing Slovenian Law on Data Protection (ZVOP-1).
* Required
Your full name
*
Your answer
Your email
*
Your answer
Your gender?
*
Female
Male
Other:
Required
Are you a Highly Sensitive Person?
*
Yes
No
I don't know
Required
How much do you know about High Sensitivity?
Your answer
Why did you chose coaching?
Your answer
What do you want to achieve through coaching - what is your goal?
*
Your answer
What have you tried so far to achieve this goal?
Your answer
What is your best understanding of why it hasn't worked?
Your answer
What are the top three things you want to change in your life?
*
Your answer
How committed are you to reach your goal(s), make changes, transform?
*
Not that much
1
2
3
4
5
Very committed
What's it worth for you to reach your goals?
Your answer
Are you willing to see yourself as having power rather than being a victim?
Your answer
Are you open to energy work (energy support)?
Yes
No
Maybe
Other:
Clear selection
What kind of arrangement are you looking for?
Single sessions
A package of single sessions
Sessions within a certain time frame
I am not sure yet
Other:
How much money are you willing and able to invest in reaching your goals at this time?
*
0 - 500 EUR
500 - 1.500 EUR
1.500 - 2.000 EUR
more than 2.000 EUR
Other:
Required
How much time are you willing to invest in reaching them at this time?
*
Less than a month
One month
Six weeks
Three months
More than three months
Other:
Required
What time zone are you? What would be the best time for you to meet with me? (Feel free to put in some time frames including your preferred days of the week.)
*
Your answer
Is there anything else you would like me to know?
Your answer
Thank you for completing the form. I will contact you shortly. Kind regards. Manca
Your answer
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