Coaching Application Form
Please fill in the form as accurately as possible. All information is 100% confidential. Please read my terms and conditions for more information.
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Name *
Date of Birth *
Marital Status *
Children + Ages *
Email *
How did you hear about my coaching? *
How long have you been working and homeschooling? *
What are your long term goals? *
What are your main motivations when thinking about these goals?
*
What’s holding you back from reaching these goals?
*
How can I support you?
*
What does a successful coaching relationship look like to you?
*
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