Application for Free Coaching
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Name *
Telephone number *
Email *
Which best describes your interest in coaching with me?
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Which best describes your desire for free coaching sessions?
Which category best describes your main focus for these coaching sessions? *
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Imagine at the conclusion of these four sessions, you're completely satisfied with the time we've spent together.  Please describe, as precisely as possible, how you know we've been successful.  The more detail, the better.
Please complete the following sentence in your own words.

"If, by the end of these four sessions, we haven't at least accomplished  _____________ , then this will have been a complete waste of time."
Do you affirm that you understand and consent to the recording and repurposing of these 4 sessions as educational and/or promotional content (in full or in part) for use on Derek Stone's social media platforms and websites and you understand and agree that this is the only way Derek Stone can afford to invest 4 one-hour, one-on-one sessions with you for free? *
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