Coaching Application Form
The First Step To Creating The Life You Deserve!
Name
First Name
Last Name
Phone Number
What's Your Instagram Handle?
*
Email
example@example.com
What Are Is Your Current Biggest Problem You're Facing? (Short Answer)
*
How Is This Problem Affecting Your Life? (More Details The Better)
*
Why Is This A Must For You To Solve This Problem? (More Details The Better)
*
Are You Prepared To Invest Time, Money & Energy Into Solving This Problem?
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I Am
On A Scale Of 1-10 How Committed Are You To Fixing This Problem? (10 = I Will Do Whatever It Takes. 1 = You Shouldn't Be Filling Out This Application Form)
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1 - 4
5 - 7
8 - 9
10
Are You Prepared To Invest $10,000 - $40,000 Into 1 on 1 coaching with Lewis? Yes there are payment plans available!
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I Am
Submit
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