Private Coaching Application
Congratulations on taking this step towards creating the future you really want.


I’m only looking to work privately with those who are fully ready to commit to their transformation so if this is you, please complete the following form to apply for Private 1:1 Coaching.

Upon receipt of your form, either myself or one of my team will get back in touch with you within 48 hours with your next steps.


All the best,
Janet Mohapi-Banks
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone (including country code) *
Your answer
Timezone *
Your answer
What are you applying for? *
What is your biggest frustration right now and how long has it been going on? *
Your answer
Have you already done some work around this frustion? *
If yes, what kind of work?
Your answer
How much has this situation or problem cost you in dollars and cents? (Time lost from work, ill health, etc.) *
Your answer
On a scale of 1 to 10, what is your level of desire to move forward? *
On a scale of 1 - 10, what is your level of urgency to move forward? *
On a scale of 1 - 10, what is your level of commitment in moving forward? *
Are you actively seeking a coach? *
How did you hear about Janet Mohapi-Banks Coaching? *
Your answer
The investment for 12-week Private Coaching with Janet Mohapi-Banks starts at $9,000. Are you in a financial and emotional place to invest in yourself, get the support you need and get this resolved? *
If you're invited to work with Janet, are you prepared to pay in full for the $997 Breakthrough session or a minimum of 60% ($5,400) of the 12-week program during the call? *
Thank you for your enquiry. Janet or one of her team will contact you within 48 hours.
A copy of your responses will be emailed to the address you provided.
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