1:1 Coaching Application

1:1 Coaching Application
See If You Qualify

You're here because you know there's another level — and you're ready to claim it. This application helps me understand where you are, where you want to go, and whether we're the right fit to get you there together. Take your time. Be honest. Your answers will shape our entire conversation.
Name

First NameLast Name
Email
example@example.com
Phone
What's Your Occupation
Rate yourself on a scale of 0-10 in the following area of MINDSET. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Rate yourself on a scale of 0-10 in the following area of MENTAL FITNESS. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Rate yourself on a scale of 0-10 in the following area of FINANCES. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Rate yourself on a scale of 0-10 in the following area of BUSINESS. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Rate yourself on a scale of 0-10 in the following area of RELATIONSHIPS. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Rate yourself on a scale of 0-10 in the following area of LEADERSHIP. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Rate yourself on a scale of 0-10 in the following area of WORK/LIFE BALANCE. 0 being, that you have NOT made any progress in this area and 10 being that you are RIGHT where you think you should be by this stage in your life. *
Pick 3 of the above categories that you want to change and/or improve. In the space below, explain what would have t happen in order to take each of these 3 areas to a "level" 10 experience?*
What is the PAY OFF for achieving these goals? How is your new life going to be different? What is the upside or reward for following through on these goals?*
What ways of thinking, feeling, and performing have prevented you from already achieving these goals?*
What is the COST or the Negative Consequences for not following through? What is your life going to be like if you continue to buy into your limiting ways of thinking, feeling, and performing?*
Why are you a good candidate for my coaching and how do you think you will be able to benefit from a coaching program like this?*
Our 1:1 coaching programmes represent a significant investment in yourself and your future. Are you in a position to invest in yourself right now?"

Yes I am ready and able to investI need to explore options firstI'm not sure yet
When are you looking to get started?

Immediately - I'm ready nowWithin the next 30 daysWithin the next 3 monthsI'm just exploring for now
How did you learn about coaching with Philippa?*
Please click SUBMIT below to submit you answers.

A Note from RESULTS EXPERT, Philippa. Congratulations on taking the first step towards seeing Exceptional RESULTS in your personal and professional life, and THANK YOU for filling out this questionnaire.

After reviewing your answers, I will reach out to set up a complimentary discovery coaching session to ensure we are the best SUCCESS team for your current goals and focus.

Have a fantastic day!

Be Bold, Be Fearless, and Redefine What's Possible.

Philippa Holding
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1:1 Coaching Application

See If You Qualify