Fall in Love Application

1
Are you currently single?
YESNO
2
When was your last relationship?
3
Which best describes your current dating situation?
Single, not dating.
Single, casually dating.
Dating multiple people at once
Dating one person and headed toward commitment.
None of the above.
4
Have you used any Dating Apps either currently or in the past?
YESNO
5
Describe any roadblocks with mindset, past/current dating experiences, etc. Please be as detailed as possible!
6
Please describe the results you would like to see by the end of the 12 weeks of Fall in Love * This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
Why is it so important for you to improve this area of your life? * This field is required.
8
Have you paid for Life Coaching/Dating Coaching services in the past? * This field is required.
YESNO
9
Are you aware I run a paid coaching program designed to support women in mastering their mindset to attract the love they've always desired? * This field is required.
Yes looking forward to it!
No, I did not realize this.
In that case, please cancel this application.
10
This professional coaching program is an investment in yourself and learning the tools and techniques to attract your dream relationship. Please indicate your willingness and ability to invest in you mindset and romantic future * This field is required.
I am ready to invest a significant amount to transform my life.
Things are tight but I am committed to becoming resourceful to make it happen.
I'm not willing to invest in myself at this time.
11
Amazing! What's your first & last name? * This field is required.
12
What's your best email?* This field is required.If your application is selected, I will be reaching out to you directly to set up a complimentary Discovery Interview Call to discuss next steps to join this round of Fall in Love.
13
What's the best number to reach you? * This field is required.If your application is selected, I will be reaching out to you directly to set up a complimentary Discovery Call to discuss next steps to join this round of Fall in Love.
14
Last but not least, how ready are you to attract your dream relationship?!
Row 0, Column 0Row 0, Column 1Row 0, Column 2Row 0, Column 3Row 0, Column 4
Row 0, Column 0Row 0, Column 1Row 0, Column 2Row 0, Column 3Row 0, Column 4
Should be Empty: