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1:1 Coaching Application
1
What is your biggest challenge right now?
*
This field is required.
If you have challenges with multiple, select the highest priority one.
Masculine & feminine energy balance
Setting boundaries & communication skills
Confidence & self-esteem
Connecting to my emotions
Intimacy & closeness with my partner
Something else
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2
Have you worked with a coach or therapist before?
*
This field is required.
Yes, a coach
Yes, a therapist
Not yet
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3
How committed are you to working on yourself to fully achieve success?
*
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No judgement here. Select your true commitment level even if you feel scared.
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2
3
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I'm not ready yet
I'm fully committed
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4
Do you currently have the funds to invest into coaching?
*
This field is required.
Coaching is a powerful investment in yourself. To help us both know what’s possible, please share your current readiness to invest financially.
✅ I’m fully ready to invest in myself and my growth
I’m committed, and I’ll make the finances work if this is the right fit
I’m not in a financial position to invest right now
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5
What is your age?
*
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Please Select
18-24
25-29
30-34
35-39
40-44
45-49
50+
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Please Select
18-24
25-29
30-34
35-39
40-44
45-49
50+
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6
What is your occupation?
*
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eg. Software Developer, Marketing Manager, Entrepreneur, Sales Associate, etc...
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7
What is your name?
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First Name
Last Name
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8
What is your Instagram username?
@username
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9
What is your Instagram username?
@username
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10
What is your email address?
*
This field is required.
So we can schedule your free 60 minute Discovery Call.
example@example.com
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11
Congrats! You qualify for the 1:1 Program: a personalized coaching experience containing weekly calls & guaranteed results with a four-figure investment. Next, book your 60 min Discovery Call with Kevin:
You'll be able to schedule your free Discovery call on the next page.
I'm willing to invest in myself ✅
I need some more info before I'm ready
I'm not ready yet
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