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Application for Coaching Bundle including Jennifer Whitmire Private Coaching
Coaching Application
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Best Phone Number
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Your answer
What's your main objective for working with Jennifer Whitmire? Please provide details about any health challenges you are experiencing and the outcome you'd like to achieve.
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Your answer
On a scale of 1 - 10, how committed are you to this outcome?
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Minimally Committed
1
2
3
4
5
6
7
8
9
10
100% Committed
Which of these areas of your life are impacted by your current health situation? *
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Career
Relationship
Social Lide
Other:
What is the cost to you, in terms of finances, relationships and fun, of not solving your current health challenges?
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Your answer
Are there any foods or activities you are unwilling to include in your life, no matter the positive impact they would have on your health? If so, please describe. *Your answer
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Your answer
If selected, how much time are you willing and able to invest to get your health challenges resolved and allow you to achieve vitality?
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An hour a week or less
Several hours a week
Several hours a day
Whatever it takes
Are there any foods or activities that you are unwilling to give up no matter what the cost in terms of your health? If so, please list.
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Your answer
What's the most you are willing and able to invest to resolve your health challenges and achieve unstoppable health and vitality?
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$1,000 or less
$1,000 to $3,000
$3,000 to $5,000
$5,000 to $7,000
Whatever it takes
Is there anything else you'd like to share?
Your answer
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