12-WEEK COACHING PROGRAM

Name

First NameLast Name

Email

example@example.com

What's your Instagram handle?

Country/state of residence?

Age group (services are only available for age 18+)

After your application has been reviewed you'll receive an email with a link to book a COMPLIMENTARY 30-min Clarity Call via ZOOM to chat about your goals,
the 12-Week Coaching Program and ask any questions you may have before proceeding.

What is your occupation? any side hustles?

Which parts of your life would you like to improve?

What's the main reason you want to work with me privately?

What are your big goals?

A year from now, what do you envision your life looking like?

What have you currently been doing to reach those goals?

How do you want to FEEL in your daily life that you may not currently be feeling?

What are the TOP 3 roadblocks you are currently facing that are keeping you from reaching your goals?

How does it make you FEEL when you hit these roadblocks?

What would be the action steps you may need someone to guide you on in order to overcome your challenges / reach your goals?

The 12-week Coaching Program is an investment in time, energy & money (4-figure investment) Do you have the financial resources and commitment to invest in yourself?