The Shadow & Light Framework 1:1 Health Coaching Application
Hello! Thank you for taking the time to complete the coaching application. I look forward to connecting with you and learning how I can best serve you. Dr. Nicki
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Email *
First and Last Name *
Today's Date *
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DD
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Phone Number *
In your wildest dreams, what do you hope to receive from coaching? ;) *
What's your most pressing health concern (physical and/or mental)? *
What quality best describes you? : ) *
What is your energy level on most days? *
To what degree are you ready NOW to start coaching with me? *
Nope... not yet.
I'm all in.
Thank you for completing the coaching application. I will contact you shortly. Much appreciated, Dr. Nicki
A copy of your responses will be emailed to the address you provided.
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