Seth Lawrence 1:1 Men's Coaching + Mentoring Application
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Where do you live?
Realationship Status
Single
Married
Divorced
Widowed
Occupation
If yes, then please share them below:
What is your primary reason for seeking coaching and mentoring?
What specific areas of your life are you looking to improve?
What are three goals you would like to accomplish within the next 6 - 12 months?
What do you believe has held you back from achieving these goals in the past?
Do you currently use any tools, practices or routines?
Such as, mindfulness, gym, movement, nature, meditation, breath-work, yoga etc
What are your expectations from working with a Men's Coach?
Why do you want to work with Me and why now?
Have you worked with a coach or mentor before? If so what was that experience like?
How would you describe your current lifestyle, and how do you feel about it?
Are you willing and able to invest $1800 - $6800 AUD in yourself?
Yes
No
What Coaching + Mentoring program are you interested in?
3 Months 1 on 1 Online
6 Months 1 on 1 Online
12 Months 1 on 1 Online
Men's Camino - Japan 2027
Men's Camino - Italy 2027
3 Day Nature Immersions - Australia
Other
Do you have any health (physical, mental, or other) conditions or challenges that you would like to me to be aware of?
Yes
No
Is there anything else you'd like me to know before we begin working together?
What time of day works best for a call in regards to your application and next steps?
Give a few options :)
How did you hear about me? If referred by a friend what is their name?
Submit
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