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Keynote Speaking
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Coaching Programs
“The 2-Week Quick Start”
Application
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?
Tell me about you, your family, your work, your passions.
Tell me what is going on right now that you are struggling with in your life.
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?
Complete the sentence: In 6 months, it would feel so good if…
What is getting in the way of you reaching your goal(s)?
On a scale of 1-10, how committed are you to making changes with me as your coach?
I understand that “The 2-Week Quick Start” is $2,497. YES/NO
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No
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