Virtual Accountability Coaching Application
Complete this application to be considered for virtual Accountability Coaching with Coach Daphne. We will contact you within 1-3 business days with the determination of your application. If you have any questions or concerns prior to receiving the determination, please email admin@drbeard7.com.
Full Name
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First Name
Last Name
Mobile Number
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Brand Ambassador Referral Code (if not applicable, type N/A)
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Active Email Address
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example@example.com
How did you hear about Accountability Coaching?
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Instagram
Facebook
Email
Word of Mouth
Brand Ambassador
What time zone are you in?
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What are your social media handles? (i.e. @abc123 on Instagram)
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What is the main reason you are applying for Accountability Coaching?
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Have you invested in accountability coaching before? If so, which ones and what were your results? If no, type N/A.
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Accountability Plans range from $69.99-$199.99/month depending on what plan you choose. Will this be an issue for you?
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Yes, I am prepared to invest in Accountability Coaching Now
No, I can't afford Accountability Coaching at this time
Maybe, I might need more time to prepare to invest in Accountability Coaching
If approved for Accountability Coaching, when would you like to start?
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Month
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Day
Year
Date
What are your life goals you want to achieve within the next 6 months? (Please list short and/or long-term)
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What are your expectations of having an Accountability Coach?
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What is happening (or not happening) with your life goals that is causing you to apply for accountability coaching?
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Is there anything else you'd like to add? If no, type "N/A"
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By signing your name you attest that all information provided here is true and correct to the best of your knowledge. If yes, please sign your first and last name here:
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Submit Application
Submit Application
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