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Discovery Call w/Floris
Important: Only fill out the form if you are serious about investing in coaching.
How old are you?
*
What behaviors or patterns are you currently struggling with?
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How long has this been an ongoing issue, and what have you tried to fix it?
*
What is this problem currently costing you emotionally, socially, or professionally?
*
On a scale of 1–10, how committed are you to fix this
problem
?
*
On a scale of 1–10, how committed are you to fix this problem?
0
1
2
3
4
5
6
7
8
9
10
Are you able and willing to invest
financially
in your recovery?
*
Are you able and willing to invest financially in your recovery?
A
Yes
B
No
What's your full name?
*
What is your e-mail address I can reach you on?
*
Submit