Application Questions

This form is just a way for me to get to know you a little better. 
Rest assured, all information will be kept private and 
confidential.
After submitting the form you will be contacted within 
24 hours on the next business day  for next steps. 

Best, Coach Courtney

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👋 Hello, what's your name?
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👂 How/ where did you hear about me?
🎯 What are your overall goals or intentions?
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💬 Please tell me a little about yourself.
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😞 Where are you feeling stuck or challenged?
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😇 Have you worked with a coach before to achieve these goals or different goals?
If so, please tell me more...what were your goals, what worked and what didn't. 
🎯 What helps you to be focused, present, or grounded?
🌈 What are 3-5 things you LOVE about your life?
🎧 Is there a book or podcast that you recently read or listened to that left a lasting impression on you?
🩺 Do you have any underlying health conditions or mental health challenges?
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⭐ Why is now the right time for you to begin coaching?
📍 How would you prefer our coaching sessions?
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Required

🗓 Investment Details for Private Coaching

Coach Courtney's private coaching program offers two investment options:

6-Week Program: $1494 (equivalent to $249/week)

3-Month Program: $2988 (discounted to $2700 if paid upfront)

Payment plans available to suit your needs.

Are you ready to invest in coaching at this time?

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Required

⏰ I also offer a “fixer hour” for $300.

Not ready for a full coaching program? This one-hour consultation offers the perfect opportunity to benefit from my trained ear, expertise, and actionable steps to kickstart your journey towards clarity and confidence. During our session, we'll focus on your specific needs and goals, ensuring you leave with practical strategies to move forward. After our meeting, you'll receive a comprehensive email summary and a recording of our discussion, providing you with all the insights and guidance at your fingertips.


Would you like to book a "fixer hour"?

🛎 Want to stay connected but not ready to commit at this time?
A copy of your responses will be emailed to the address you provided.
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