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How did you hear about me?
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Referral
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Why do you feel called to coaching right now?
What’s the primary challenge or area of life you want to shift or improve?
What would meaningful change look like in the next 3–6 months?
If you had to name the ONE outcome that would make this journey worth it, what would it be, and why does it matter to you? You can complete this sentence if it helps: Now I’m ________ and that matters to me because ________.
Why do you feel now is the right time to take this step?
How willing are you to invest in your growth right now?
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10
How capable do you feel in taking consistent action between sessions?
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How much clarity do you currently have about where your life is going?
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How committed are you to real change right now?
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10
How courageous are you willing to be in this process?
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Which area of life are you most focused on improving?
Personal Growth & Mindset
Health & Vitality
Career / Business
Relationships
Time Management / Structure
Financial Clarity
Spiritual Connection
All Of It
Other (please specify below)
Note:
Have you worked with a coach, mentor, or guide before? If yes, what was your experience like?
Describe your current biggest roadblocks, patterns, or limiting beliefs in your own words.
What support structures (if any) do you currently have in place — routines, systems, mentors, accountability, etc.?
What has stopped you from achieving your goals in the past?
Why do you feel you’re a good fit for this coaching experience?
What values or principles guide the way you live and make decisions?
If your application is accepted, how soon are you ready to begin?
Immediately
Within 1–2 weeks
Within a month
Not sure / Just exploring
Have you completed the Growth Blueprint course?
Yes
No
In progress
Are you in a position to invest in high-level coaching at this time?
Yes
No
Need more details
What is your current income bracket?
$0 – $25K
$25K – $40K
$40K – $80K
$80K – $120K
$120K – $200K
$200K – $400K
$400K – $600K
$600K – $1M
$1M – $5M
$5M+
Which statement best describes your willingness to invest?
I have the time, energy, and financial resources to invest in myself.
I don’t have the funds now but I’m resourceful and willing to find them.
I’m not ready to fully commit right now.
What are three things you’re most grateful for right now?
Is there a message you’d like to share with me personally?
By submitting this application, I understand this is not a discovery call but a commitment to a growth-focused coaching journey. If accepted, I agree to show up fully, respect our time and energy, and take aligned action toward meaningful transformation.
Send Application