Mini Challenge Application Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
What is your current role/profession?* This field is required.
4
What is your biggest challenge when it comes to high performance and avoiding burnout?* This field is required.
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Ok
Ok
5
Why do you want to join this 5-day challenge?* This field is required.
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Ok
Ok
6
Are you willing to commit to 30-minute coaching sessions for 5 days?* This field is required.Ideally sessions are for 5 consecutive days, but we have some flexibility.
YESNO
7
On a scale of 1-10, how committed are you to changing your mindset and habits?* This field is required.
8
Have you worked with a coach before? If so, what worked and what didn’t?* This field is required.
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9
Would you be open to exploring ongoing coaching after the challenge if it aligns with your goals?* This field is required.
Yes
No
Maybe
10
What’s the #1 result you want to achieve by the end of this challenge?* This field is required.
11
This application ensures that only the most committed professionals are selected.

If you are selected, an email will be sent to you with a link to book our first call.
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