Adult Coaching Advisory Application

Adult Coaching Advisory Application

Share your details and answer a few questions to help us assess fit and next steps.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What made you decide to get help instead of waiting
What issues are you having?
What specifically is happening in that area that you no longer want to tolerate?
What have you already tried to fix this, and why do you think it has not fully worked?
If nothing changes over the next 6 to 12 months, what do you believe this will continue to cost you emotionally, financially, relationally, or spiritually?
If this program could help you what would you want it to accomplish emotionally, physically and spiritually?
This is an investment for parents who are tired of trying to go at it alone. Which best describes you:
This experience requires participation, feedback, implementation, and follow-through. Are you willing to prioritize the calls, assignments, and action steps required to create real change?
If accepted, are you able to make this decision independently, or would you need to consult with someone else before enrolling?
What is your annual household income?
Once your application is reviewed, someone from our team will reach out to determine your best next step. Is there anything else you would like to communicate to the team?
Copy and paste this link to your url to book your call and press "submit" AFTER you copy and paste the link: https://calendly.com/empowering-others/clarity-call
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