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1-1 Life Coaching with Christine
Thank-you for your interest in working with me! In completing this form, you will be able to
jump on a free discovery call with me where we will decide if you’re the right fit for the Mindset
Intensive
Program.
* Indicates required question
Email
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Record my email address with my response
Email
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Your answer
Full Name
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Your answer
Age
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Your answer
City & Country
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Your answer
What are your pronouns?
*
She/ Her
He/Him
They/Them
Other:
Instagram Handle
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Your answer
What areas of your life are you trying to improve? *Click all that apply!
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Body Acceptance and Confidence
Fear of Failure // Perfectionism
People Pleasing / Relationships with Others
Getting Clear on My Goals / Going For What I Really Want.
Other:
Required
Is this a time in your life where you can fully commit to the Program and prioritize time towards zoom calls, homework, and creating better habits?
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Yes!
No.
Other:
If this partnership is deemed to be a mutual fit, you will need to be in a financial position to move forward with the Mindset Intensive Program. The cost of this program is
$250 USD + taxes
for the 4 session program. ($62.50 USD per session!)
*
I can pay the amount of $250 USD + taxes.
I am unable to pay for your services at this time.
Is there anything else you would like me to know?
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Your answer
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