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One Month Private
Coaching
First Name
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Email
*
Phone
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What inspired you to apply for 1:1 coaching?
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What are your top 3 goals for the next 3 months?
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What challenges or blocks are holding you back from achieving your goals?
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Have you ever worked with a coach or mentor before?
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Love and Relationships
Career and Success
Financial Abundance
Health and Well-being
Self-Confidence and Self-Love
Personal Growth and Transformation
Other: (Please specify)
Why do you feel I’m the right coach to help you on your journey?
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What areas of life would you like to focus on during coaching?
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Confidence & Self-Belief
Healing Trauma
Manifestation & Mindset
Relationships & Love
Career/Business Growth
Other
How committed are you to investing time and energy into this process?
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100% ready to go all in
Excited but a little nervous
Unsure and exploring options
Do you prefer weekly calls or bi-weekly sessions?
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Weekly
Bi-weekly
What type of support do you value most during coaching?
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Accountability
Emotional Support
Clear Guidance & Strategies
Tools & Resources
Other
Do you have any questions or concerns about the coaching process?
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Are you ready to invest in yourself?
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Yes, I’m ready to take action!
I’m not sure yet and would like to explore options.
How did you hear about this coaching program?
*
Instagram
Referral Website
Other
Apply Now
Have questions or can't find a time to fit your needs, email me:
[email protected]
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