Confidence & Execution Accelerator Application
**For high-achieving professionals ready to achieve their goals with clear, confident action.
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
YOUR GOALS
Please answer honestly and thoughtfully.
What is the ONE goal you want to achieve over the next 30-90 days?
*
Why is achieving this goal important to you right now?
*
Which of these has been getting in the way of you achieving this goal? (Select all that apply)
*
Overthinking
Self-doubt
Lack of confidence
Lack of clarity
Procrastination
Fear of failure
Fear of judgment
Inconsistency
Difficulty following through
Fear of rejection
Lack of accountability
Not knowing the right next step
Trying to do everything alone
Other
Back
Next
Are You Ready
Please answer honestly and thoughtfully.
On a scale of 1–10, how committed are you to achieving this goal?
*
Curious
1
2
3
4
5
6
7
8
9
Fully committed
10
1 is Curious, 10 is Fully committed
What have you already tried to achieve this goal?
*
If nothing changes over the next year, what concerns you the most? How would that affect your life or career?
*
Why do you believe coaching with Shelly is the right next step for you?
*
There are many other coaches out there, why do you want to work with Shelly specifically?
*
If we work together, what would success look like 30 days from now?
*
How did you hear about Shelly?
*
YouTube
LinkedIn
Workshop
Referral
Website
Other
Segment Label
Back
Next
Let's Do This!
Have you invested in coaching, courses, or personal/professional development before?
*
Yes
No
Not yet, but I’m open to it!
Are you prepared to invest $5,000 in coaching?
*
Yes, I am ready!
I'd like to discuss payment options
I'm not sure yet
No
If accepted, when would you be ready to begin?
*
Is there anything else you'd like me to know before you submit your application?
*
Submit
Should be Empty: