THE COACH JENNIE - Coaching Application

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Please Enter Your Full Name* This field is required.
First Name
Last Name
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Is there a certain name you wish to be called?* This field is required.
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What are your social media accounts
Facebook
Instagram
LinkedIn / Other
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How would you describe your current mindset and attitude towards your personal and professional life?* This field is required.Don't overthink this - just write
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Can you articulate one or two key personal or professional goals you would like to achieve in the next six months to a year?* This field is required.What's on your mind or something you really want to work towards
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On a scale of 1 to 10, how consistently do you prioritize self-care in your daily or weekly routine?* This field is required.Please be specific with your number
(1 = don't prioritize, 10 = over prioritize)
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Which coaching program resonate with you the most?* This field is required.Choose all that apply
Group Coaching
Private Coaching
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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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What are the primary challenges or obstacles you currently face in achieving your goals?* This field is required.Please be specific:
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Who supports you in your life journey* This field is required.Please be specific:
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What are your favorite 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
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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 filling out this form. Embarking on the journey of improving our personal well-being can seem overwhelming, but rest assured that you are in capable hands!

I will review your responses and get back to you within the next 48 hours with further instructions.

Follow along on Instagram, Facebook & Podcast

Have an amazing day ❤️

~Jennie
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