Transform Your Life

1
Name
First Name
Last Name
2
Phone Number
Please enter a valid phone number.
3
Email
example@example.com
4
Date of Birth
Date
Year
Month
Day
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Where did you hear about Coaching with Lanasia Angelina?
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Google/Meta Ads
Instagram
Facebook
TikTok
Past Client/Friend
6
What specific outcomes are you seeking from a coaching relationship?Select all that apply
Clarity of Vision & Direction – I want a clear, actionable plan for my life or business so I know exactly what to focus on daily.
Increased Confidence & Self-Belief – I want to overcome self-doubt and show up as my most confident, authentic self.
Mindset Transformation – I want to shift limiting beliefs, strengthen resilience, and develop a success-oriented mindset.
Income Growth – I want to increase my revenue and consistently hit higher income goals
Business Strategy & Structure – I want systems, processes, and strategies that make my business run efficiently and profitably.
Accountability & Consistency – I want to stay disciplined, follow through, and maintain momentum toward my goals.
Leadership & Influence – I want to grow as a leader, expand my network, and make a greater impact on others.
Personal Branding - I want to grow my personal brand to expand my opportunities and create more impact and income
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Where would you like to see your life and business within the next 12 months?Include any relevant details (time, money, impact, location etc)
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What major obstacles have you encountered that hinder your personal or professional growth?
Fear/Doubt
Lacking Clarity
Lacking Confidence
Lacking Strategy
Mindset
Financial Resources
9
Before scheduling an official consultation. You will be contacted by phone to further discuss your needs. When is the best time to chat for 10-15 minutes over the phone?
Should be Empty: