Application for 1:1 Coaching

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The most important part: what's your name?* This field is required.
First Name
Last Name
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And what's the best email to use for you?* This field is required.
example@example.com
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Where did you first find out about me/my coaching program?* This field is required.
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Okay love, let's get into it: what brings you here? What's keeping you from loving your life as much as you want to?* This field is required.
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What are these struggles holding you back from being/doing/having/enjoying in your life currently?* This field is required.
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How long have you been struggling with these things?* This field is required.
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Let's zoom out to a year from now. If you commit deeply to yourself and your goals, how do you hope you and your life will look like? What do you hope will be different?* This field is required.
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How important is it to you to achieve those goals?* This field is required.
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Why does making these changes matter so much to you?* This field is required.
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What have you tried so far to make these changes & solve these problems? Be as specific as you can be. For example: 12-step groups, therapy, meditation, medication, self help books, etc...* This field is required.
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What do you think is preventing you from reaching these goals on your own?* This field is required.
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Have you ever invested in a therapist or a coach before? If so, what was that experience like for you & what did you feel was lacking?* This field is required.
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What questions & concerns do you have about 1:1 coaching? Let it all out--we'll discuss all of it on our call.* This field is required.
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Are you willing to invest time, energy, money, & creativity into solving the struggles you're experiencing & creating this life that you just described?* This field is required.
Absolutely. I'm ready to solve this problem & ready to invest the time, energy, & money that is required.
I think so...I know that I want to make a change, and I know that I can be resourceful enough to do what it takes to invest in myself and my future.
I'm not ready or willing to make a financial investment in my future, but I do still want to make a change in my life.
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The cost for my 6-month private coaching program is $1,000/month. Are you ready and willing to make this investment in solving these challenges?* This field is required.
Yes, I can cover that cost. I am 100% ready to change my life.
I don't have all money to invest, but I know am worth it so I'm committed to figuring out a way to make it happen.
No, I'm not ready for this investment, but I'd love to explore lower cost options!
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If you are accepted into the program & invited to join, get all of your questions answered, and decide that you want to accept your invitation, are you willing to secure your spot with a $500 deposit on our call? Why or why not?* This field is required.
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