Private Coaching Application
Thank you for your interest in Private Coaching with me. Please fill out the form to apply for private coaching sessions. You will receive an email from me with next steps within the next 24 business hours.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Time Zone
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What is your time zone and location
What are your main goals for private coaching?
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What are your expected outcomes for private coaching?
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On a scale from 1 to 10 (10 being the highest), how committed are you to private coaching and why?
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Private Coaching is a 6 month commitment. Are you prepared for the time commitment required for private coaching? Explain.
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Do you have any issues (personal or otherwise) happening in your life right now that would cause you to not be able to complete 6 months of private coaching? (Details not necessary)
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Explain how you respond to not so favourable information about yourself?
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Do you feel that you are a reflective person? Do you reflect on your actions and strive to make changes?
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Are you financially prepared for 6 months of private coaching? (Considering the cost of coaching, supplements, and app subscriptions)
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What is your occupation?
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Is there anything you would like for me to know?
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Submit Application
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