Private Coaching - Application 2025

1
What is your Full Name?* This field is required.
First Name
Last Name
2
What are your three biggest accomplishments to date? And why are you proud of them?* This field is required.
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3
What is your genius?
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4
What’s missing from your life, relationship and/or business? And how do you keep it out?* This field is required.
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5
Where do you see the biggest potential of growth for you?* This field is required.
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6
What would you like to accomplish that looks impossible but if it were achieved would change everything?* This field is required.
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7
I have a variety of coaching programs available. If chemistry exists between us, and we're a great fit, how much are you willing to invest in your transformation right now?* This field is required.
$7,000 USD - $10,000 USD
$12,000 USD - $20,000 USD
$25,000 USD - $50,000 USD
$50,000 USD - $100,000 USD
$5,000 USD or less
I don't have the funds and can't create them at this stage in my life, no matter what.
8
How did you hear about me?
9
What is your Email?* This field is required.
example@example.com
10
What's your Instagram?* This field is required.Kindly put @
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What's your What's App number?* This field is required.
12
How old are you?* This field is required.
13
In which country do you live?* This field is required.
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