Accountability Coaching Info Form
with Empower Empire
Name
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First Name
Last Name
E-mail
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Instagram Username or Facebook URL
*
Where are you from?
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United States
Canada
United Kingdom
France
Other
What interests you about the accountability coaching opportunity?
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Which are you interested in trying/promoting?
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New workouts
Nutrition courses
Meal plans
Supplements (i.e. pre/post workout, probiotics, bcaas, digestive enzymes, etc.)
Motivation & accountability groups
Coach Sneak Peeks to build my own team
How much time will you commit to your coaching business?
30 minutes/day (3-5 hours/week)
1 hour/day (5-7 hours/week)
2 hours/day 10-12 hours/week)
3+ hours/day (12-15 hours/week)
This will be my full time job
Envision your life 2-3 years from now. What does it look like? What has changed from where you are today?
I do not charge for my coach mentorship OR wellness groups, but you do need to invest in a workout or nutrition program that I will coach you through, so that you can continue/start to see real progress in your body & mind. Are you willing to invest in a one-time fee of $39-220 to get everything you need for this program?
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100%
Maybe? Let's chat about the options.
No, thank you.
Is there anything else I should know about you OR do you have any questions for me?
Which is the best way to reach out to you?
Email, please!
Instagram/Facebook messenger
Either one!
Submit Application
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