Application to work with Dr Nancy

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
What is your biggest health or energy challenge right now, and how is it impacting your business or personal life?* This field is required.
4
What specific results are you looking to achieve by working with me?* This field is required.
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Ok
Ok
5
Have you previously invested in yourself at a high level (e.g., health or business coaching, personal development)?* This field is required.
YESNO
6
If your health and energy were fully optimized, how would that impact your business and lifestyle?
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Large
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Small
Ok
Ok
7
What have you tried in the past to address these challenges, and what were the results?* This field is required.
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Small
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Ok
8
Why is now the right time for you to prioritize your health and business growth?* This field is required.
9
On a scale of 1-10, how committed are you to making the necessary changes to achieve your goals?
10
Are you financially prepared to invest in a premium coaching program to achieve your goals?
Yes
No
Not sure yet
11
Why do you believe I’m the right coach to help you?
12
Please verify that you are human* This field is required.
Should be Empty: