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“The 2-Week Quick Start”
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Coaching Programs – Tier 1 Application
Name
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Email
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Phone Number
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LinkedIn Profile
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How did you hear about me?
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Tell me about you, your family, your work, your passions.
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Tell me what is going on right now that you are struggling with in your life.
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Click the boxes that apply:
Feeling Overwhelmed
Hate My Job
Don’t Feel Like I’m Enough
Never Have Time for Myself
Don’t Have Passion for Anything
Physical Health Is Being Impacted By Stress
Believe I “Should” Be A Certain Way or Do A Certain Thing
Feel Guilty for Taking Time for Myself
Don’t Know If I Want to Stay in the Law
Am Not Satisfied With Life
Don’t Think I’m Really Happy
Have a Hard Time Setting Boundaries
Am Constantly on the Back Foot
Have An Insane Amount of Balls In the Air
Am Worried I Will Regret Things Later in Life
What attracted you to my work?
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Complete the sentence: In 6 months, it would feel so good if…
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What is getting in the way of you reaching your goal(s)?
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On a scale of 1-10, how committed are you to making changes with me as your coach?
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I understand that “The 2-Week Quick Start” is $2,497. YES/NO
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Yes
No
If you are human, leave this field blank.
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