THE COACH JENNIE - Coaching Application

1
Please Enter Your Full Name* This field is required.
First Name
Last Name
2
Is there a certain name you wish to be called?* This field is required.
3
What are your social media accounts
Facebook
Instagram
LinkedIn / Other
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Tell me about yourself* This field is required.What would you like me to know about you before we begin our conversation?
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What area of your life or business feels the most stuck, frustrating, or out of alignment right now?* This field is required.Please elaborate.
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If coaching worked exactly the way you hoped, what would be different in your life 6-12 months from now?* This field is required.
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What do you believe is the biggest thing standing between where you are now and where you want to be?* This field is required.
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What have you already tried to do to improve this area of your life? What worked, and what didn't?* This field is required.
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On a scale of 1 to 5, How ready are you to make changes and take consistent action?* This field is required.1 - I'm just exploring 2 - I'm interested but not quite ready 3 - I'm ready to start making changes 4 - I'm very ready and committed 5 - I'm all in
10
Which coaching style resonate with you the most?* This field is required.Choose all that apply
Group Coaching
Private Coaching
A hybrid of both options
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What prompted you to consider hiring a coach? * This field is required.Tell me what brought you here
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Who are your biggest supports and how do they show this support on a daily basis?* This field is required.Please be specific:
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What are your hobbies or what do you like to do for fun?* This field is required.Tell me all about it
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Is there additional information you would like me to know about you?* This field is required.Please be specific:
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Please provide 3 dates & times that work best for you* This field is required.This information will be used to connect for your free consultation call
16
Do you feel comfortable working over zoom?* This field is required.You can download this from any app store or look on YouTube for additional support
YESNO
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Confirm your email address* This field is required.
example@example.com
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Thank you for taking the time to complete my application. I personally review every application and will be in touch with you about the next step shortly.

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Have an amazing day 💖

~Jennie Jordan
Mindset & Business Strategist
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