Free Discovery Call Application
We love helping clients turn their lives around. Get excited to meet the new you!
Name
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First Name
Last Name
Date of Birth
*
-
Month
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Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Why have you made a decision to get healthier and reach out to me for help?
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Was there something that prompted you to reach out for help like a milestone or event coming up?
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What do you hope to achieve by working with me? How would these results make you feel?
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What is preventing you from reaching your goals right now?
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The value of my coaching program requires a personal commitment and financial investment in yourself. Are you ready to do this to get to your goals and overcome adversity in your life?
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Yes
No
Is there anyone else in the decision making process who needs to be present during out call?
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i.e. spouse, parent, therapist, etc.
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We are humans - are you?
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