Consult Application to Coach with Tiff & Jack
This application is the first step to possibly coaching with Tiff & Jack. Please be candid with your answers, and answer as though you're talking to one of your friends. Once you've submitted the application, Jack will contact you shortly, via text (business hours are Monday - Friday 8:00 - 6:00PM) to let you know if you'll be scheduled for a free 45 min coaching consult.

If you're a match for the consult, we'll meet in our office or visit via skype to better understand what you're looking for and let you know the details of our coaching program and how we can best help you. From there...if it's a good fit for all of us, we'll move forward into coaching.
First and Last Name *
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Best Email
Best Phone Number
How did you hear about Tiff & Jack (
Where do you live? Country (if other than the United States), State, and City
Do you prescribe to a religion? If yes, which one?
Reason for wanting a consult? (What would you like to see different in your life?)
Are you willing to make new decisions that will give you lasting change in your life?
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Are you willing to invest money into yourself?
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Are you willing to step into the unfamiliar or unknown to experience more happiness and abundance in your life?
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Are you willing to invest time daily to create change?
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Do you have an understanding of the Law of Attraction?
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Are you willing to challenge what you believe about yourself?
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Are you willing to recognize and admit your fears and face your limiting beliefs?
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Do you believe in “past lives” or are you open to it?
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Have you ever had an energy healing/clearing before?
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Are you willing to do whatever it takes to have the life you want? Please explain.
Once you've filled out the application, you'll be contacted by Jack within 24 hours (or you can text him at 801-243-4460 and let him know you've completed your application). If you have any additional questions, please email us at We look forward to meeting you.
Consult Application
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