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Private Coaching Application
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Preferred Email (To follow up on your application)
*
Your answer
Phone Number (To contact you for our Zoom Meeting)
*
Your answer
Company Name
*
Your answer
Country
*
Your answer
Website:
Your answer
Social Media Links:
Your answer
Average monthly revenue from your business
*
Less than $5,000
$5,000 - 10,000
$10,000 - $50,000
$50,000 - $100,00
$100,00 - $1,000,000
$1,000,000 +
Tell me about your business:
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Your answer
Tell me be about your position:
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Your answer
How many full-time employees? Part-time?
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Your answer
List the top 3 challenges are you facing right now.
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Organization & Time-Management
Unhealthy Organizational Culture
Hiring & Training
Sales & Service
Leadership
Work-Life Balance
Other:
Required
What does your dream job look like?
*
Your answer
What obstacles are standing in your way?
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Your answer
What's the ONE thing that you hope private coaching will help you with?
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Your answer
How open-minded are you to change?
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It's not an option, so don't talk about it.
I only change when I have to.
It depends on the situation.
I feel ok about it.
I'm very open-minded to change.
How much time can you afford to spend on this program each week?
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1-2 hours per week
2-3 hours per week
3-5 hours per week
When would you like to get started?
*
I'm not sure.
Within a month or two.
Within a week or two.
Right away!
Anything else I should know about?
Your answer
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