Coaching Cohort for Women
Tell me about you
Full Name:
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First Name
Last Name
Business/ Profession:
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Location:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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-
Area Code
Phone Number
E-mail:
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How did you hear about my coaching?
Please Select
Personal referral
Speaking engagement
Web search
Social Media
Other
Tell me a little bit about yourself and your season of life.
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Please tell me what challenges or obstacles you have (if any). Would you say you are solution oriented?
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What types of group studies have you participated in? (optional).
Specifically, what do you hope to gain from working with me?
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Should a cohort not be available right away, are you interested in 1-on-1 coaching in the meantime or are you willing to wait for a cohort to start?
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Please Select
Yes, I would like to hear about 1-on-1 options
I'll wait for a cohort
I just want a cohort right now
Social media accounts
Please copy and paste URLs in the space provided. This is optional.
Facebook
Instagram
Please understand this: I offer coaching, and consultation. I am not a trained counselor, psychologist, or mental health professional; nor can I refer you to one. If you have clinical issues, you will have to look elsewhere for help. Do you understand?
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Yes, I completely understand.
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