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1
Coaching Application
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2
Name
First Name
Last Name
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3
Phone Number
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4
Email
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example@example.com
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5
What is the main area of struggle or concern in your life or business right now?
Physical/Health
Family
Mental
Financial
Spritual
Career/Business
Perosnal
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6
How long has it been this way?
One Year
Two Years
Three Years
Way to long to count
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7
What is this issue costing you personally and professionally?
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8
What, if anything, have you done to solve the issue?
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9
Up until now, what has kept you from experiencing optimal results?
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10
If you were guaranteed to succeed in solving this issue, what is the ideal outcome and what do those results look like?
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11
Which investment choice best describes your commitment (your time, energy, money, and resources) in changing your results in your main area of struggle KNOWING it can be life changing.
*
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500-3500 Dollars
3500-7000 Dollars
+7000 Dollars
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