Please Complete This Application

Please Complete This Application

Please answer all of the questions as honestly as possible so we can best serve you on our call.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Your Facebook Profile Link (or your full Facebook name):

What is your goal? Lose 20lbs? Pant Size? Overcome depression? Be specific. Think about how you want to feel as well.
Fast forward to 12 months from today and everything you want in life is here. What would that look like? (Please describe in great detail)
What would be the most important criteria for your success as we work together?
What have you tried in the past and why hasn't it worked for you? What's stopping you from hitting your goals?

On a scale from 1-10... 1 being I'm satisfied where I am and 10 being I'll do anything to reach my goal. What number are you?
Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide) *If your significant other is part of the decision-making process, please have them on the call or we will reschedule so that they can be on the call

What would you expect from me as your coach if we decide to work together?
Space is very limited and I want to make sure this is a good fit. Why do you think you would benefit from a call or be a good addition to my coaching program, if invited?

My programs are about teaching, not just ordering you around.

I'm not the cheapest but I solve your issue forever. After the program, you should never need another coach or program again because I'll teach you every last trick in the book pertaining to achieving your vision.
With that said, are you willing to invest financially to reach your goals? (Be ready to move forward on the call IF YOU and me decide you're a good fit for this program. IF you are not a good fit, I will let you know and point you to another direction)
If accepted, how soon are you looking to get started? (If you aren't ready, please just wait and schedule when you can. I expect those who feel it's a fit to move forward. Those who don't take action are 95% more likely to continue doing nothing).

I realize I'm booking a real time slot with you.
I will be available to take the call in a quiet, distraction-free environment at our agreed upon time.
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