Personalized 1:1 Luxury Program Application

Personalized 1:1 Coaching Application Form

I'm Excited For You To Be Taking The First Critical Step Towards Actualizing Your Dream Life.
Student Name

First NameLast Name
Best E-mail
example@example.com
Phone Number

Area CodePhone Number
Website
Which Personalized 1:1 Luxury Coaching Program Are You Interested In?

3 Months: Guided Soul Searching6 Months: The Inner Pilgrimage12 Months: Thy Ever Evolving Self
How Did You Hear About Thể Oanh? How Did We Get Connected :)
Tell Me About Your Greatest Aspirations For The Next 3 Months, 6 Months & 12 Months.
What Is The ONE Goal You Would Like To Start & Accomplish And Or Gain Within 3 Months?
What's Stopping You Or Holding You Back From Achieving This Goal?
Why Do You Want To Work With A Multidimensional Transformation Coach?
What Kind Of Support Would You Want From Working With A Spiritual Guide?
What Have You Tried? What Is And Isn't Working For You?
Are You Ready To Take Inspired Actions Towards The Solution(s) To Your Problem(s)?

YES!!!MaybeNot Sure YetNo Thanks

Are You Happy With Where You Are In Life?

	1	2	3	4	5

1 is I'm Often Sad, 5 is I'm Usually Always Happy

Do You Feel Like You Are Living A Balanced Lifestyle?

	1	2	3	4	5

1 is I Need Help Please, 5 is I Got This, Thanks ;)

Are You A Confident Individual?

	1	2	3	4	5

1 is Not At All Confident, 5 is Extremely Confident

Do You Take Pride In Your Self-Image? (Well dressed, groomed etc.)

	1	2	3	4	5

1 is Meh..., 5 is I'm Fly & I Know It!

How Much Do You Love & Accept Yourself Right Now?

	1	2	3	4	5

1 is I Don't , 5 is I Love Myself Unconditionally

Do You Feel Inner Peace?

	1	2	3	4	5

1 is Hard NO!, 5 is I Am a ZEN Jedi Master

Do You Value & Appreciate Spirituality?

	1	2	3	4	5

1 is I'm Sorry, Spiritu-What?!, 5 is Very Much So!

How Committed Are You To Consciously Creating a Life You Love & Deserve?

	1	2	3	4	5

1 is I Don't Committ , 5 is I'm In Wholeheartedly!!!

Are You Ready To Step Out Of Your Comfort Zone & Step Into Your Divine Power?

ABSOLUTELY 1000% YES!!!MaybeNot Sure YetNah, I'll Play Small...
Are You Willing To Invest Time, Energy & Money Into Your Personal Growth?

Oh HECK YES!!!MaybeNot Sure YetNo Is Not An Option!No Thanks, I'm Scurred...
Without Judgement, How Dependable Are You?

I Keep My Word 100% Of The Time50/50 - Most Of The Time I Do What I SayNot That Dependable, I Have A Hard Time Doing What I Say
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Personalized 1:1 Coaching Application Form