ONE ON ONE APPLICATION

Thank you, please complete the form below and we will get in contact with you to conduct your consultation with Natalie about the 90-Day Transformation Program. If you have any questions please email us at info@NatalieCousins.com.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Website (If You Have One)*

Time Zone*

Best Time of Day For Natalie To Call You?*

Best time of Day to Contact you?*

:HourMinutesAM/PM Option

Why Do You Want to Work With A Coach?*

Describe Your Current Business*

How Many Years Have You Been In business?*

What is the Current Status of Your Business?*

How Many Clients are you work with right now?*

What has been your income over the past 4 months?*

How much money do you project earning per month in your business?*

WHAT IS THE BIGGEST CHALLENGE IN YOUR LIFE RIGHT NOW?*

What is the biggest obstacle in stopping you from progressing in your business right now?*

WHAT HAS STOPPED YOU FROM MOVING FORWARD OR COMPLETING YOUR GOALS? *

WHAT OTHER PERSONAL AND BUSINESS PROGRAMS HAVE YOU TAKEN? *

WHAT WOULD IT MEAN TO YOU TO BE WORKING WITH ME ONE-ON-ONE? *

DO YOU HAVE OR ARE YOU WILLING TO FIND THE FUNDS TO BE A PART OF THIS PROGRAM? *

HOW MOTIVATED ARE YOU TO INVEST YOUR TIME, ENERGY AND MONEY TO REACH YOUR GOALS? (ON A SCALE OF 1-10 WITH 10 THE HIGHEST AND 1 THE LOWEST) *

WHAT DO YOU MOST HOPE TO GAIN/ACHIEVE FROM WORKING WITH NATALIE? *

WHY DO YOU DESIRE TO WORK WITH NATALIE IN THIS INTIMATE WAY? *

ANY LAST QUESTIONS OR COMMENTS FOR NATALIE AS SHE CONSIDERS YOUR APPLICATION? *

Client Information Form