Application for One on One Coaching With Eliza

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Welcome! I'm glad you're interested in Coaching with me! I've been doing this work for nearly 20 years and my one on one coaching program is designed in a very specialized way, intended to work with the natural mechanisms in your brain and nervous system to help you find the sustainable transformation you are looking for! Please fill out the following information, and I'll be in touch about next steps!

First Name

Last Name

Email (I will respond here!)

Phone Number

Have you ever hired a coach before?

Yes

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Have you ever worked with a therapist before?

Yes

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Why are you interested in coaching now? What are you hoping to work on in coaching with me?

What would a successful outcome for your coaching with me look like? How will you know if you are finding success?

Coaching is an investment in BOTH our time and resources. I strive to have options for people at any stage of their investment both in time and money. Are you ready for a financial AND time commitment to your transformation? (My 1:1 programs start at $5000 due to the unique structure of the immersion, access to resources and to me.)

I am ready both financially and time committment

I have the time, but not ready for the financial commitment

I am ready financially, but not sure about the time

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Is there anything else you want to tell me so I can understand your needs better?

On a scale of 1 to 10 (10 being the highest) how would you rate your readiness for ACTION?

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