Private Coaching Application Form
Remove any mental or emotional resistance from your life. Create a successful & meaningful life on your terms.
Name
First Name
Last Name
What's Your Instagram Handle? So I can connect with you personally
*
Email
*
example@example.com
What problems do you want help with? & how is it affected your life at the moment? (more details the better)
*
How much income are you earning per month?
*
$0 - $5000
$5000 - $10,000
$10,000 - $20,000
$20,000 - $50,000
$50,000 - $100,000
$100,000+
If we were catching up for coffee to celebrate a year from today, what are we celebrating? (personal & professional wins)
*
What are the 2-3 things you'd like to work on in the first 90 days?
*
What's holding you back from achieving that? (what challenges do you need to overcome or problems do you need to solve to crush your goals?)
*
Why Private Coaching with Lewis? Why now? (what makes you think this is the right move for you right now)
*
Are you committed to taking massive action & getting uncomfortable?
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I Am
Private Coaching with Lewis works in 3 month blocks, which includes private 1 on 1 calls & unlimited Whatsapp voice message support from Lewis. The investment is $6,000USD for 3 months - $5,000 if paid in full. Are you committed to investing this amount into this coaching?
*
I Am
Submit
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