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1:1 Coaching Application
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First Name
*
Your answer
Email
*
Your answer
Instagram handle
Your answer
What is your current work role / position? (if none, put N/A!)
*
Your answer
What do you hope to gain from coaching?
*
Your answer
What nonwork roles are currently a priority for you (check all that apply)?
*
Parent
Friend
Partner / romance
Family
Education
Caregiving
Leisure / hobbies
Other:
Required
On a scale from 1 to 5, how ready are you to create change in your life??
*
Not ready
1
2
3
4
5
100% let's go!!
How would you prefer to meet?
Virtual face-to-face check ins (bi-weekly or monthly)
Virtual chat, voice memo check ins (weekly)
Other:
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Yay! I'm so happy to get to know you more. I'll be in touch soon. Be sure to click submit!
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