Coaching Application

Coaching Application

Thank you for applying for coaching. This application is completely confidential, whether we end up working together or not, so please be honest and provide me with any information you think might be helpful in determining whether we are a good fit. After you submit this form, I will invite you to a discovery call where we will discuss next steps.
Name*

First NameLast Name
E-mail*
example@example.com
Phone

Country CodeArea CodePhone Number
What type of coaching are you interested in?*

1:1 CoachingSmall Group CoachingBoth
Where do you live? *
Please tell me a little bit about yourself. How old are you? Do you have children? If you work, what do you do for work?
What is the biggest struggle for you when it comes to alcohol?
Have you tried to take a break from alcohol before? If so, please tell me a little bit more about that.
Have you ever worked with a life coach before? If so, tell me a little bit about that.
What would be possible for you if alcohol was out of the picture?
How is alcohol getting in the way of your day-to-day life?
How is alcohol getting in the way of your relationships?
On a scale from 1-10, with 10 being the highest, how committed are you to reaching your goals and changing your drinking habits?
Is there another area, apart from alcohol you feel you could use some coaching in?
What are some of the questions I can answer for you?
How did you hear about me? *
Are you interested in Christian faith-based coaching?

YesNo Thanks
I will always follow up to invite you to a discovery call if I believe we would be a good fit for coaching. Please check your email, including your SPAM for an invitation to book your call.
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Coaching Application

I will always follow up to invite you to a discovery call if I believe we would be a good fit for coaching. Please check your email, including your SPAM for an invitation to book your call.