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.

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אימייל *

Full name *

Phone *

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 about starting?

Started and less than 1 year

Been running my business for over a year.

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 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? *

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 your 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 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 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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