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Queen Coaching with Jana• Application

Let's find out if we're a perfect fit.

There are no right or wrong answers here. This form helps me understand where you are right now - so I can show up fully prepared for you from day one. I'll read every word personally and get back to you within 48 hours.

First name

Last name

Email address

How can I best reach you?

How old are you?

What is your biggest challenge right now?

What have you already tried — and why didn't it work?

What would success look like in 3 months?

How many 1:1 sessions per month?

How many 1:1 sessions per month?
A
B
C
D
E

What matters most to you in a coaching relationship?
e.g. honesty, flexibility, accountability, being heard...

Is there anything else you'd like me to know before we speak?
Injuries, health conditions, life circumstances — anything that helps me show up fully for you.