Application Form
Hello.
This application is for those of you interested in working with me in my individual program. It is intended to give me some information about you and your goals to see if I can support you as well as allow you to get more clear on what you are looking for and how determined you are to get where you want to go :)
Privacy Statement:
I will keep all the information you trust me with private and will 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
What is your gender?
*
Female
Male
Other:
Required
Are you a Highly Sensitive Person?
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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 are you wanting 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?
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Your answer
What are the top three things you want to change in your life?
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Your answer
How committed are you to reach your goal(s), make changes, transform?
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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 be open to energy work (energy support)?
Yes
No
Maybe
Other:
Clear selection
How much money are you willing 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?
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One month
Six weeks
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. Best regards. Manca
Your answer
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