Kingdom Launch Pad Application
Tell us more about your goals and schedule your free consultation call.
Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Address or Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Occupation
Marital Status
*
Single
Married
Divorced
Widowed
Please select an appointment below for the initial assessment or initial meeting
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Questionnaire
Please answer these questions so we can get to know more about you. This helps us determine whether or not The Kingdom Launch Pad is right for you.
How did you hear about me/this coaching program?
*
Why are you looking for a coach now?
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Have you ever invested into a coach or a coaching program before? If so, how was your experience?
*
What are your top goals?
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What are the biggest challenges you face in reaching your goals?
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How long have you been facing these challenges?
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What would your life look like if you failed to overcome these challenges and accomplish your goals?
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How motivated/committed are you to creating the results you want with this program?
*
What is your religion (if any)?
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How important is faith in your life?
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Do you know what your purpose is in life? If yes, please share.
*
What does success mean to you?
*
Are you a published author? If so, what type of book(s) have you written, and how many?
*
Signature
Date Signed
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Month
-
Day
Year
Date
Submit
Submit
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