Questionnaire

Please understand that 1-on-1 coaching means you will be working with Duke 1-on-1. This coaching program is for individuals who are serious about their transformation and committed to personal/professional growth. Working 1-on-1 with Duke requires a 4-figure investment that can either be paid at once, or in installments. Please do not apply for 1:1 coaching if you're not in the financial position to invest in yourself.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Age*

Gender*

ManWomanN/A

Please provide your Instagram URL*

What city do you live in?*

What is your occupation/job/career field?*

There is no wrong or right answer. Please be as thorough as possible. If you are currently in school, put that down.

Are you interested in 1-on-1 coaching or group coaching?*

1-on-1 coachingGroup Coaching

Is coaching/consulting something you know you need? or something you think you want?*

I know I need itI think I want it

Have you ever invested in a coach before? (business, fitness, image, relationship, etc) If so, what was your experience?*

What is the #1 problem you need to solve today? Please be specific.*

What specific outcome would you consider successful? *

Why is the outcome so important to you?*

On a scale from 1-10, how important is achieving your outcome to you?*

What's your relationship status?*

On a scale from 1-10, how is your physical health?*

On a scale from 1-10, how is your mental health?*

How much would it be worth to you if you knew without a doubt in 8-12 weeks you could reach your exact goal and make a positive impact on the rest of your life?*

$2000 - $3500$3500 - $5000$5000 - $7500$7500+

This coaching program is for individuals who are serious about their transformation and committed to personal/professional growth. If your application is accepted, are you able, willing, and ready to make a significant financial investment in yourself?*

YesNo

When would you want to get started?*

Immediately1 week2 weeks1 month

Fill out the form to see if we're a good fit.