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1-on-1 Journey Application Form
Take your time with these questions.
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1
Name
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First Name
Last Name
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2
Age
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3
Email Address
*
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example@example.com
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4
IG or Social Handle
@example
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5
Why do you want to work with a coach?
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6
What coaching journey are you interested in exploring?
5-week Vision Initiation
6-month Embodied Journey
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7
If anything were possible, what would your life look like? What do you want most? What do you want to create?
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8
What is your vision for the next year? 3 years? 10 years?
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9
What are the biggest challenges you are currently facing in your life and/or business/work?
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10
What are you 3 biggest goals for the year life and/or business/work?
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11
What is stopping you from doing or achieving what you are committed to in life and/or business/work?
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12
What might you have to change or give up in order to bring your vision to life? What might you have to sacrifice?
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13
Working together is will require a time, financial and energetic investment. Are you ready to make this kind of investment into yourself?
*
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YES
NO
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14
Which of these 3 options feels most aligned.
(Payment plans available for 6-month and 5-week)
5-week Vision Initiation ($1500)
3-month Vision Integration ($5,000)
6-Month Vision Embodied ($10,000)
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