Sliding Scale Coaching Application

Sliding Scale Coaching Application

For Donation-based and Income-based consideration
Date

MonthDayYear
Date
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Which financial consideration are you applying for?

Donation-basedIncome-based
Give a brief explanation about your financial situation.
What called you to seek out Coaching with me?
Share a little about your Desires.....what are your Top 3 Desires you would like to achieve with our coaching?
On a Scale of 1-5, How ready are you to begin coaching with me?

1

2

3

4

5

1 is Just Curious, 5 is I'm ready NOW!
How much time are you willing to invest in our coaching together?

15-30 minutes a week30-60 minutes a week60-90 minutes a weekmore than 90 minutes a week
Are you willing to write a review on Google and Yelp after our coaching ends?

Absolutely!I don't feel comfortable doing that
How did you find me
Is there anything else you feel I should know to consider you for Donation-based or Income-based coaching?
What amount are you willing to invest monthly for coaching?
Should be Empty: