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Holistic Coaching Application
Please complete the form bellow and Michelle will be in touch with you within one week.
Looking forward to connecting with you!
With gratitude,
Michelle
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First Name
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Your answer
Email
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Your answer
Phone
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Your answer
What are your preferred pronouns?
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Your answer
What is your age?
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Your answer
Where do you currently live? (city/state + country)
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Your answer
Where were you born? (city/state + country)
Your answer
Please include here any identities that are important to you that you would like to mention.
Your answer
✨ IMAGINE that we are working together and you are feeling the experience is deeply valuable to you. How will you know when you are receiving VALUE from our work together? What would have shifted in your and your business?
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I will know/feel that this process is working when...
Your answer
Ideally, when are you available to schedule appointments?
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Select all that apply.
Weekdays, before 10AM
Weekdays, between 10AM and 4PM
Weekdays after 4PM
Weekends
Other:
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Investment commitment
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Please note that coaching is not a therapeutic relationship and therefore not covered by insurance. My current rate is $250 per 50 min session. Is this an investment that you are able to commit to in this season of your life and business?
Yes, I am ready for this investment.
No, I am not ready at this time.
Other:
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Would you be interested in participating in a virtual COACHING group centering the cultivation of an emotionally sustainable business?
Yes I am interested in joining a virtual coaching group
No I am not interested in joining a virtual coaching group
Other:
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Any specific question(s) that you would like answered about virtual Holistic Coaching?
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How did you hear about Michelle?
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Would you like to be added to Michelle's email list?
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Michelle sends emails every few weeks with updates about groups and workshops plus gentle inspiration, practices and insights to support your emotional wellness.
Yes, please!
No, thank you.
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