Coaching Application Form

1
Email* This field is required.Enter your best email
example@example.com
2
Phone Number* This field is required.Enter the best phone number to reach you (Whatsapp)
Please enter a valid phone number.
3
What is your primary goal for joining Karina's coaching program?* This field is required.
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4
What challenges are you currently facing that you hope this coaching will help you overcome?* This field is required.
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5
Have you ever invested in a personal development or coaching program before? If yes, what was the result?* This field is required.
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6
How soon are you looking to start working on achieving your dream life and goals?* This field is required.
7
How much are you willing to invest into achieving your dream life and goals?* This field is required.
$0-$499
$500-$2499
$2500-$4999
$5000+
8
On a scale of 1-10 how committed are you to achieve your dream life and goals?* This field is required.Type a number between 1 and 10.
9
Are you willing to immediately implement the training and coaching provided to achieve your goals?* This field is required.
YESNO
10
Congratulations, you qualify!* This field is required.Select a day and time to book a Discovery Call with Karina.
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