Coaching Application for 1:1 Recovery Coaching
Your Name
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First Name
Last Name
Your Email
*
example@example.com
1. Briefly describe the challenges you’re currently facing with binge eating, addictive eating, sugar, or your health.
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2. How long have you been struggling with these challenges?
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3. Why is it important for you to make progress in your recovery right now?
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4. Have you worked with a therapist, coach, or another professional in the past? If yes, what kind of professional and how was your experience?
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5. If we were to work together, what would you want to work on? What would be your desired outcome?
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6. How do you currently feel (mentally, emotionally, and physically)?
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7. On a scale from 1-10, how serious are you about transforming your life?
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Not Very
1
2
3
4
5
6
7
8
9
Very
10
1 is Not Very, 10 is Very
8. Are you in a financial position to invest in your health and recovery?
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9. Are you ready to get started now or in the next 30 days?
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10. This coaching process is experientially oriented and may include live guided mindfulness practices, learning self-regulation skills, movement suggestions, discussing abstinent/animal-based nutrition, self-compassion practices, and more. How do you feel about exploring these approaches?
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11. What’s one way you already see yourself as a “badass” in your life, or what’s one big ambition you dream of achieving?
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12. Is there anything else you'd like me to know about you that would help me better understand your journey?
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13. How/where did you find me?
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