Teen Life Coaching Application Form
Andrew Petrillo Life Coaching
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Teen
*
First Name
Last Name
What’s your teen currently struggling with?
*
Low motivation
Lack of confidence
Anxiety or overwhelm
Unsure about college or next steps
Poor follow-through or time management
Social issues or isolation
Other
Have you tried anything else to help?
0/300
What do you hope will change for your teen through this coaching experience?
How ready are you to invest in support for your teen if it’s a good fit?
I’m all in — we’re ready for help now
I’m exploring options but open to a call
I’m just gathering info at this point
Other
Is there anything else you'd like to share?
Submit
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