Work With Me!
Wohoo! Congratulations on taking the first step toward becoming a more brilliantly well you - I'm excited to get to know you better. Please complete and submit the following application form. After I review the form, if I think I can help you and we might be a mutual good fit for one another, I will contact you to schedule a call to learn more about what you would like to accomplish in our time together and for us both to confirm that moving forward is the Lord's leading along with which coaching package will be the best fit for you.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Does that phone number receive texts?
*
yes
no
Email
*
example@example.com
If you are not in the United States, please tell me which country you currently reside in?
How did you find me? If someone referred you to me, please provide their name and contact information so I may personally thank them.
*
If things were to go really well for you over the next 6-12 months, what would you like your life and health to look like?
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What is currently stopping you from getting those results that you would like my help with?
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On a scale of 1-10 where 10=all in and 1=not determined at all, how determined are you to make positive changes to achieve those results even if you're not sure how to go about it?
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On a scale of 1-10 where 10= highly satisfied, how satisfied will you be if you DON'T gain solid traction on solving those challenges in the next 6 months?
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Are you willing to explore mindset + belief patterns, fears and the spiritual warfare side of what's stopped you from achieving these results up until now?
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yes
no
Which type of environment do you believe you would benefit you the most in working toward your goals?
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Private 1:1 support
A group setting
A combination of both
How important is it to you to have Jesus be a part of everything you do
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Extremely important
Somewhat important
Not very important
Not important at all
If we are a mutual good fit for one another AND the solution I offer is the right one for you, are you ready to invest at least $1K-$4K with in the next 2-6 months?
*
YES - I need help!
I want to chat first
I'm not ready
Submit
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