Apply to have Madelaine as your coach.
Hi there! I INVITE YOU TO FILL IN THE FORM BELOW SO THAT WE CAN CONNECT AND EXPLORE HOW I CAN HELP YOU IN YOUR LIFE. Please write and tell me a bit about yourself, why you would like to work with me and how I can support you. I am looking forward to connecting with you. Love, Madelaine.
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Afghanistan
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Phone Number
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Which if these categories suit you most?
Artist
Entrepreneur/ Business Owner
Healing and/or Personal Growth Seeker
Other
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Which area resonates most with you?
The Artist's Journey – I'm an artist looking to elevate my craft and overcome creative blocks.
The Inner Journey – I'm looking for therapeutic help to heal and grow.
The Creative Advantage – I'm a business owner or entrepreneur looking to harness my creativity to innovate and grow your business.
Not sure yet, need guidance.
What's your yearly income?
Under $50,000
Under $100,000
101,000-$250,000
$250,000-$499,000
$500,000+
Are you satisfied with the income you are making right now? Why, or why not?
What are 3 achievements you are really proud of?
Tell us about 3 events that have deeply impacted your life.
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Would you consider yourself living on purpose? Why, or why not?
What is the one thing that if you changed it, it would have a massive, positive impact on your life?
If you could create anything, what would you create?
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What do you wish you had MORE of in your life right now?
What do you wish you had LESS of in your life right now?
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What's the main reason you are reaching out for support from Madelaine?
Is there anything else you would like Madelaine to know?
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How did you hear about Madelaine?
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ASHC
Word of Mouth
Newspaper
Internet
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Social Media
Other (Please specify...)
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