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1:1 Coaching Application

Complete a quick questionnaire

Please fill out all fields before submitting. Click the button below to begin.

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Question 1 of 17

Full Name (first and last name)

Question 2 of 17

Email address

Question 3 of 17

What is your biggest challenge right now?

Question 4 of 17

What goals do you want to achieve through coaching?

Question 5 of 17

Why do you feel this is the right time for you?

Question 6 of 17

How committed are you to this transformation? (1-10 scale with 10 extremely committed)

Question 7 of 17

Anything else you'd like to share?

Question 8 of 17

What is currently holding you back from living the life you truly desire?

Question 9 of 17

Have you invested in personal development or coaching before? If so, what was your experience?

Question 10 of 17

On a scale of 1-10, how open are you to new perspectives and mindset shifts?

Question 11 of 17

What specific areas do you want to improve (confidence, self-worth, relationships, career, personal style, etc.)?

Question 12 of 17

What kind of support do you feel you need most?

A

Accountability

B

Mindset Shifts

C

Strategy & Goal-Setting

D

Emotional Healing

E

Personal Refinement

F

All of the Above

Question 13 of 17

How do you handle feedback and guidance when working with a mentor or coach?

Question 14 of 17

Coaching is a commitment—both emotionally and financially. Are you prepared to invest in your transformation?

A

Yes

B

No

Question 15 of 17

If accepted, are you ready to begin your coaching journey within the next 30 days?

A

Yes

B

No

Question 16 of 17

Why do you believe I am the right coach to help you on this journey?

Question 17 of 17

Which coaching package are you signing up for?

 

Choose one below so we can tailor your experience and send the correct next steps:

A

1 Hour Reset Session

B

4-Week Elevate Experience

C

12-Week Signature Elevate to Elegance Experience

Confirm and Submit