The Confidence Code™️ Online Group Coaching Inquiry Form
I am SO excited you want to up-level your confidence to reach your fullest potential in your relationships and most especially, with yourself!! 💥

I have a few questions to get to know a bit about where you're at and how I can best serve you!

Set aside some time and dive in. It may be 10 minutes or you may wish to invest half an hour or even more in this. This will help you gain clarity, and help us get on the same page moving forward.

I will touch base once I have received your form for next steps!

Dream BIG my friend,
First Name *
Last Name *
How did you find out about The Confidence Code™️ *
What is happening in your life right now that sparked your interest in receiving support? *
How would you rate your current level of Self-Confidence?
Very Low
Confident in most areas of my life , but I could always use more though!
Clear selection
How long have you struggled to feel Confident?
What area would you like to see the most growth?
Clear selection
Are you currently in a Romantic Relationship?
Clear selection
Have you worked with a coach before? *
If you answered Yes above; What sort of things did work through in the coaching? *
The program runs from September - December. There will be Coaching Calls & Course Education Calls typically on Wednesday's between 10am and 7pm, EST. Does that work with your schedule? If not, what other weekday/evening fits for you?
Do you have any questions about The Confidence Code™️ Group Coaching Program or for Dani?
Woo!!! Thank you!! Just a few more things & we are good to go :) Please include the best email address to reach you at *
Phone Number we can connect with you at *
If you want to stay connected and receive more epic ness about Relationships, Confidence & Reaching your fullest potential, click the box below! :)
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