L'et get you enrolled!
This application form is for me to understand where we are starting from and, FOR YOU, to let me know what your expectations, needs & desires are for the program.
Please write your full name
First Name
Last Name
...and your email address
example@example.com
Have you ever worked with a Coach?
No, I have never worked with a Coach
Yes, I have had a Coach in the past, but they no longer coaching or supporting my journey
Yes, I am actively working with someone
No, but I want you to be my Coach :)
Okay, now let's get to know you better!
From Bottom to Rise is all about YOU, so it's essential for me to know your point of view!
What are your short term & long term wellness/life goals?(Short term being in the next 3 months, long term over the next year)
Why do you think this Program is the right one for you?
What are your expectations during these 21 day mentorship?
Have you ever done Yoga before?
Yes, I practice daily
Yes, I practice a few times a week
I have tried it, but never been consistent with practicing
No, but I would love to start my Yoga journey
What would you like to gain at the end of this Program?
0/500
Tell me a little about your life, your daily routine, occupation and family.
0/500
What guided you to take action now and wanting to enrol in this Program?
0/500
On a scale of 1-5, how willing are you to actually put in the work, be consistent and really show up in order to pave the way to lifestyle you love and reach your goals?
1
2
3
4
5
*Five little stars being very willing and committed!
Thank you for answering these questions, the answers will really help me to guide you where you want to go and towards what you want to achieve.
Once you have submitted the form, I will be in touch!
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