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Coaching Intake Form
I’d love to ask you a few questions to see where you’re at so I can serve you best & see if we’re a good fit to work together
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Name
*
Your answer
Email
*
Your answer
Discount Code
Your answer
Phone
*
Your answer
Are you interested in the 3 week or 3 month Coaching Program or a Course?
*
Your answer
Do you use Paypal, Venmo, or Cashapp? If so, what's your username?
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Your answer
If your life was the same 10yrs from now would you be okay with that ? ( 1 absolutely-10 not at all)
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10
What would you like to achieve during our coaching sessions?
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Your answer
Do you believe in Jesus as your Lord & Savior & want him to be a part of all aspects of your life ?
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Your answer
Do you want to make changes in your life?
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Yes
No
Other:
Are you willing to be honest with yourself & me?
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Yes
No
Other:
I’m here to support & guide you. Do you understand every step of the way is your choice?
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Yes
No
Other:
You get out of this what you put in. Are you willing to work towards what you want?
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Yes
No
Other:
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