Coaching Registration
Thank you for your interest in Coaching with Mrs. Ariel Harper. Coaching equips you with the skills that you need and desire in order to have a successful relationship and marriage. Let's get into it!
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Which status best describes you?
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Single
In a relationship
Engaged
Married
Which of our services are you interested in?
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Couples Coaching
Wife Coaching
Pre-marital
Marriage Preparation(Singles)
Which topic are you struggling in right now?
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Communication
Intimacy
Finances
Blended Family
Other
What are your top 3 goals for your relationship in the next 90 days?
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What's stopping you from achieving your goals?
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What would success look like in your marriage?
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What is your coaching budget to work with me(how much are you able to invest today?)
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$1-$49
$50-$99
$100-$399
$400-$699
How did you hear about Mrs. Ariel Harper, The Wife Advisor?
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Facebook
Instagram
Referral
Google Search
Once your intake form is viewed, a follow up email will be sent to discuss next steps. Thank you!
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