Coaching Application Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are your goals?
Physical Freedom
Mental Freedom
Lifestyle Design
Give more details on the above (e.g Ticked Physical Freedom - list your chronic pains/injuries. Mental Freedom - what's holding you back from being your authentic true self? Lifestyle Design - What is your dream lifestyle?)
What have you tried before and why didn't it work?
Why do you feel that I am the right coach for you?
What made you want to fill out this form today?
If we were to potentially work together, what would your ideal outcome be?
If results were guaranteed, would you be willing to pay between €199-€333 per month?
Yes
No, I can't afford that right now
When are you ready to get started?
ASAP!
This week
This month
The coaching is 3 months minimum. The average length for the results you see in the highlights section is 3-12 months. Progress doesn't happen overnight and there is no quick fix. But with the right attitude & approach progress is inevitable.
I understand
Submit
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