3 month 1:1 Alchemy Mindset Coaching Application Form

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These questions are to help you reflect and identify what you would like to get from your 1:1 private coaching with me. Please complete this form and I will be in touch within 24 hours once I have reviewed it.

Email *

Full Name *

Phone no - including country code *

Name of your business & the industry you work in. *

What is the purpose or focus of your business. *

Please share your social media handles. Eg. Facebook, Instragram, Pinterest, Linkedin, YouTube, TikTok etc. *

At what stage are you currently at within your business? *

Thinking of starting

Under 1 year of operating

Been in business for over 1year

Operating for 5+ years

What are you most proud of or what is the most memorable achievement that you have had to date within your business? *

Dream BIG. What is your big vision for your business? Go wild, as if nothing was holding you back or stopping you from having everything you ever dreamed of. *

What challenges, roadblocks or areas in your business are not working for you right now? What do you want to work on? *

What lead you to want to have mindset coaching?* *

What do you feel or think is or are the current mindset blocks you are facing in your business? *

What mindset techniques or processes are you currently using to support you in your mindset and business? *

What do you hope to have achieved, by the end of this coaching program? You can include how you would like to feel or be, what you would like to have or have done whilst working on your mindset and your business *

Are you 111% ready to commit and invest in your business/yourself in this coaching program? *

Yes

Are you ready to take action and be kept accountable? *

Yes

Is there anything stopping you or holding you back from staying committed or taking action? *

If there is anything else you want me to know or add please include below. *

The cost of this 3 month program is $3200 AUD. *

I am ready, pleaese sign me up, I'm paying in full $3200 AUD

Please sign me up for 3 monthly payments $1067.00

Please sign me up with 6 fortnightly payments $534

Please sign me up with 12 weekly payments $267

Thank you so much for taking the time to complete this form.

Please DM me on Instagram @annafhastie or email me at hello@annahastie.com to let me know that you have completed the form and let's get chatting! Speak to you soon, Anna xx

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