Victorious Trainings 1:1 Happiness Coaching

AGREEMENT/REMINDERS:

I understand that all information I entered in this form will be considered strictly confidential.

The data gathered from this form will only be used as a basis for the type of coaching the client will need.

I understand that in order to be successful, it is vital to follow the plan agreed by both the life coach and the client.

Name* This field is required.

First Name

Last Name

Date of Birth

Date

Do You Know Your Divine Purpose?* This field is required.

YESNO

If Yes, Tell me, What Is Your Purpose?

How do you feel about life? * This field is required.

I love & enjoy my life and look forward to a long, healthy life!

Life is challenging at times, but I love life and enjoy the good times as they come.

I have dreams & goals I desire to achieve to make me feel more complete in life.

Life’s been hard, and I want to do something about it to make it better.

I have an inner ideation with death or suicidal thoughts that I need to address.

What are the things that makes you happy?

What is your motivation in life?

What will it take to achieve your goals?

How often do you experience anxiety?* This field is required.Select All That Apply

Always

Frequently

Seldomly

Never

I Love Someone Who Has Anxiety Attacks

What Makes You Nervous or Causes Anxiety?Please Be Specific and inclusive of all stimuli of anxiety and nervousness.

How Do You Cope with Anxiety?Please explain your coping mechanisms to avoid stressful situations or what you do when dealing with an anxiety attack.

How often do you experience depression?* This field is required.Select All That Apply

Always

Frequently

Seldomly

Never

I Love Someone Who Is Depressed

What Makes You Sad or Causes Depression?Please Be Specific and inclusive of all stimuli of depression.

How Do You Cope with Depression?Please explain your coping mechanisms to avoid triggering sad feeling or what to do when dealing with a slope into depression.

Are You Interested in Coping Methods for Anxiety & Depression for You or a loved one?* This field is required.Select yes if you would like practical tools to help manage anxiety and depression for yourself and to practice with others. Answering Yes will sign you up for Free Positive Vibes Newsletter, and other Life Affirming Resources!

YESNO

What Moment(s) Keep You Stuck in a Mental Prison of Your Past?Vent about what plagues your mind from your past that keeps you from enjoying today.

What BIG FEAR FACTOR is holding you back? * This field is required.

Self-doubt

People’s Opinions

Standing Alone

Being Responsible

Being Successful

Having Peace

Fear of Vulnerability

Lack of Funding

Don’t Know Where to Start or What to Do

Can’t Get Out of Bed or Leave the House

I'm Standing In My Own Way, But I Don't Know How...

Nothings Standing In My Way

Confusion

Depression

Social Anxiety

PTSD

Other

Developing which of the Following Interests would Provide You Maximum Satisfaction?* This field is required.Select The Most Important to You!

Business Development

Becoming a Published Author

Spiritual Alignment & Manifestation Mastery

Trauma Recovery

Anxiety & Depression Management

Developing which of the Following Interests would Provide You Maximum Satisfaction?* This field is required.Select The Most Important to You!

Business Development

Becoming a Published Author

Spiritual Alignment & Manifestation Mastery

Trauma Recovery

Anxiety & Depression Management

Imagine Your Future Self, One Year from Now! Describe what you want to be doing, if you make the decision to complete your Path to Victory!* This field is required.

Envision yourself being your own boss- applying lessons and building a successful enterprise based on your expertise, purpose, and on your own schedule, making more money than you ever did! What do you see yourself doing, being, having, feeling?* This field is required.

What first small step you are willing to take towards your transformation? .* This field is required.

Guided Meditations & Affirmations

1:1 Consultations or Online Webinars

Completing Courses that help you become successful

Type option 4

Which type of guidance and support resonates most with you on your journey to healing & growth?* This field is required.

Self-paced learning and resources

Group coaching & community engagement

One-on-one personalized coaching

Spiritual guidance and exploration

1:1 Happiness Coaching Subscription

My Bag

Two Sessions2- 4 Hour 1:1 Happiness Coaching Session
$1,000.00Edit
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Five Sessions5-4 Hour 1:1 Happiness Coaching Sessions
$2,000.00Edit
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Every Week SessionYou will be coached 4 hours weekly—at least 8 Weeks.
$10,000.00Edit
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Number of Weeks

Payment Method

Phone Number* This field is required.

Email* This field is required.

example@example.com

Email Verified

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Please check your mailbox and paste the code below to complete verification

••••

Marital Status

Single

Married

Divorced

Widowed

Do you have any health condition that you would like to share?* This field is required.

Yes

If yes, then please share them below:

Are you currently taking any medications?* This field is required.

Yes

If yes, then please indicate the medication name and the purpose below:

What are your personal goals?* This field is required.

Occupation* This field is required.

What are your professional goals?* This field is required.

What are your professional strengths and assets?* This field is required.

Victorious Trainings 1:1 Happiness Coaching