Identity Shift Private Coaching Application

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What is your name?* This field is required.
First Name
Last Name
2
What is your best email?* This field is required.
example@example.com
3
What is your Instagram handle? (I will likely direct message you to set up next steps)* This field is required.
4
What inspired you to fill out an application for Personal PowHer Project 1:1 Coaching? Please share what led to you taking this step! * This field is required.
5
What are the top 2-3 challenges you’re currently facing in your life that you desire coaching to support you in overcoming?* This field is required.
6
Why are you interested in 1:1 coaching with me, Valerie specifically? * This field is required.
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What desired outcomes would you love to achieve through private coaching?* This field is required.
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Tell me about your personal growth journey so far! Have you worked with a coach before or invested in coaching program? How was your experience?* This field is required.
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On a scale from 1-10 with 1 being not at all and 10 being ALL IN, how committed are you to showing up and doing the work to create a huge shift in your reality?* This field is required.
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Why did you choose that number?* This field is required.
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Personal PowHER Project is a 4 or 6 month private coaching experience & is a mid-four figure investment with monthly installment options available or an extended payment plan upon request. How ready and willing are you to financially invest in your growth?* This field is required.
I’m ready!! Let’s do this!
I’d need to utilize a monthly payment installment option, but am ready!
I’ll need to get resourceful & but I am committed to finding a way to make it happen!
I’m not ready to invest at that level, but would love to see other offers that are a lower investment
I’m not ready to financially invest in myself, please remove my application
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How soon would you like to get started? * This field is required.
I'm ready to start now!
I'd love to discuss a future start date
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Is there anything else you’d like to share with me before submitting your application?
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