Client Application Form

The Client Application Form is a thoughtful application form, which is to understand more about your coaching needs and situation regarding coaching. This is to help both of us with our alignment for coaching. Once completed we can work to set up a 1-on-1 Discovery Call.

Are you ready to finally create the success, impact, and understand your purpose that you desire? If so, I invite you to fill out the application below. I value our time, so the application helps ensure that I can be of service and our time together during the 1-on-1 Discover Call will be maximized.

Date*
MM slash DD slash YYYY
Email*
Enter Email Confirm Email
First Name*
Last Name*
Best Phone Number*
Are your ready for the time and commitment to coaching?*
What are you looking for in a coach?*
Have you invested in coaching in the Past? What was the focus, and what was this experience like for you?*
What unique talents, experiences, skills and personal qualities do you feel you bring to the world?*
What opportunity or challenge is causing you to pursue coaching? Please elaborate on any issues that are causing you unrest.*
What would you like to accomplish with a coach's help?*
Please list 3 short term goals you would like to work on with measurable results for each.*
Please list below things that you want to improve, achieve, master or change about yourself or your business.*
What is your BIG vision for the next 12 months and your life?*
I understand that coaching is not counseling, and all decisions and outcomes are my responsibility.*

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