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Lifestyle By Design 1:1 Mentorship Application
**PLEASE READ THIS FIRST***
This is an application for Lifestyle By Design 1:1 Mentorship. If you're accepted, you'll receive an acceptance email to secure your spot and a Zoom link for your initial 1:1 phone call.
Please fill it out completely and honestly. There are no wrong answers!
Only fill it out if you are committed to the growth of yourself as a female and ready to take action.
I'm excited to support you and your evolution and empowerment.
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Name
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First and last name
Your answer
Email
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Your answer
What's your age?
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Your answer
Tell me about yourself and your CURRENT situation (Life, relationships, work/business, body image, your struggles throughout the day). I wanna hear it all!
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Your answer
What is your #1 goal as a woman that you want to accomplish in the next 12 months? What is the ultimate version of you?
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Your answer
Be honest - what do you think is stopping from reaching this goal on your own? (the more specific you are the more I can help you!)
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Your answer
Have you ever invested in a coaching program? Which one and what was your experience?
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Your answer
How did you find Jess?
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Choose
Instagram
The Jessica Pinili Podcast
Referral
Youtube
Facebook
Lifestyle By Design was created to support you in empowering and evolving yourself as a female. Knowing it will require time, emotional and financial investment are prepared are you to take this type of action now, and financially invest? (Payment plans available)
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HELL YES, Absolutely! [Payment upfront]
HELL YES, Absolutely! [Payment plan required]
I am not ready to make a financial investment
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