Group Coaching Program
2023
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address (you just *might* get some goodies in the mail!)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Name
Website (if you have one)
What services do you provide?
Who is your ideal audience?
Does your ideal audience match who you are currently serving?
What goals would you like to work toward between now and October? Be as specific as you can, but don't stress if you aren't completely clear yet!
What fears or roadblocks have stood in the way of your goals?
What topics would you like to learn about from experts during our time together?
What mindset techniques are most important to you in order to accomplish your goals? (i.e. time management, stress reduction, connecting to source, etc)
Please list 2-3 times for your best availability for group coaching calls. For example: Mondays between 9-11a. If you're flexible, you can leave this blank.
Which would you prefer?
One upfront payment for the group
Monthly payments, please
Submit
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