1:1 COACHING APPLICATION WITH SAM
Please read before you apply:

Filling out this application puts you into the waitlist to receive 1:1 Coaching with Sam, designed to help you quit binging, sabotaging and let go of your limiting beliefs. You will gain clarity on what you need to do to lose any unwanted weight, stress, overwhelm, financial struggle and finally step into alignment in your purpose as the most empowered and unstoppable version of yourself.

This program is for you if you are ready + serious about investing into their health, happiness and future self.

This isn't for everyone. By filling this application out, it will help us determine if you'd be a good fit to join us.

** If you are approved, you'll receive an email confirmation and a link to schedule an interview phone call **

You will gain a ton of value from the interview alone. Be prepared to have all of your excuses and stories demolished. Can't wait to chat with you .**
Full Name *
Your answer
Email address *
Your answer
Age? *
Your answer
Phone Number *
Your answer
Where are you from? *
Your answer
Instagram Handle *
Your answer
What is your biggest goal right now and why? Share as much as you feel comfortable with. *
Your answer
What is holding you back from achieving that goal? *
Your answer
Are you currently struggling with binge eating, emotional eating or stress eating? If so, what's the real challenge for you here? *
Your answer
How urgent is your goal? *
not that urgent
extremely important, i've been wanting it for a while
Why did you choose that number? *
Your answer
It’s important for me to see your goals through your eyes… can you describe how they feel to you? *
Your answer
What support do you need in order to perform at your highest potential? *
Your answer
Why do you want to work with Sam? And why should we choose you over the other applicants? *
Your answer
Have you ever worked with a coach before? If so, tell us about your experience. What did you enjoy most? What did you not like? *
Your answer
What doess your current financial situation look like? *
Your answer
How ready are you to invest in your health and goals? *
I'm not sure
I'm a hell yes.
How did you find out about coaching with Sam? *
Your answer
If it's not a HELL YES, it's a hell no. If we get on a call and it's a HELL YES to work together, are you willing to make an investment in yourself to hire a coach? *
Your answer
Before your application can be considered, please agree to the following terms: I (applicant named above) agrees to be 100% open and coachable during our call. I agree to be fully present on the call, to listen intently, and be willing to take action! *
Required
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