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Coaching Application Form
Please take a few minutes to fill out this application form and I will send over a booking link once I review your responses.
Your name
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Your email
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Which best describes your situation?
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What is the biggest challenge in your relationship right now?
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How long has this been affecting your relationship?
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If things improved over the next 3 months, what would be different?
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How motivated are you to work on this right now?
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How motivated are you to work on this right now?
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Have you previously invested in coaching, therapy, counselling, courses, or personal development?
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If we decide we’re a good fit, are you in a position to invest in coaching support in the next 30 days?
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Why do you want this session specifically?
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Submit
