Application for Beyond The Peak

1

Name* This field is required.

First Name

Last Name

2

Country* This field is required.

3

E-mail* This field is required.

example@example.com

4

Phone Number* This field is required.

5

Profession* This field is required.

6

Social Media Handle* This field is required.

7

What would you like your 1-1 coaching to focus on?* This field is required.

8

What duration of coaching are you seeking?* This field is required.

6 weeks 12 weeks

9

What is your BIG goal for your leadership and performance?* This field is required.

10

Why is it important for you to coach with Dr. Shelly-Ann?* This field is required.

11

Have you previously worked with Dr. Shelly-Ann?* This field is required.

Group Coaching

1-1 Coaching

Consultation

Mentorship

None of the Above

12

Are you enrolled in the Go Bravely Coaching Course?* This field is required.

YESNO

13

Beyond The Peak is a 6-12 week private coaching immersion with weekly live coaching sessions at a minimum full investment of $4,997 USD or the option to pay in two instalments of ($2,997 x 2). Are you ready to make a full or partial installment to access expert coaching?* This field is required.

YESNO

14

If you are not ready to make an investment of $4,997 or $2,997 USD what is your investment appetite?* This field is required.

$500 - $1000USD

$1000 - $2500 USD

15

What are you seeking in your time with Dr. Shelly-Ann?* This field is required.