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Coaching Application
This is an application is to work 1:1 with Amanda - in addition to her 6 month Work Deliciously & Create Deliciously intensives, she also offers a variety of coaching packages and options. Pricing will vary based off of which program you are interested in.
Once the form is completed, Amanda will be in contact within 72 hours to set up a call to learn more about you, answer questions, and help you figure out which package is right for you!
All information provided in this form will be kept confidential.
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Name (first & last)
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Age
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Your answer
LIFESTYLE:
Please share a little bit about you, whatever you would like to share (career, passions, family life, identity, quirks, etc). This can be as long or as short as you would like.
Your answer
Please describe what self care looks like to you. How and when do you feel most connected to your body?
Your answer
What does an average day look like for you? If each day is different, highlight what feels important to share.
Your answer
On a scale of 1 to 10, how much ease do you feel in your daily career/work?
No ease at all
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Perfect ease
Clear selection
On a scale of 1 to 10, how present do you feel in your daily life?
Not present at all
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Fully present
Clear selection
How do you manage stress?
Your answer
HEALTH INTAKE:
Please share anything related to your physical or mental health that may be relevant.
Your answer
Have you ever been diagnosed or treated for a psychological or mental health condition?
Your answer
Are you currently taking medication for a mental health related condition?
Your answer
COACHING:
What has drawn you to apply for coaching?
Your answer
What communication style do you prefer when being held accountable? (check all that apply)
Direct (tough love)
Non-direct (self realization)
Avoid confrontation
Please check all topics that you are interested in exploring:
Create a wellbeing routine
Help with stress management
Alignment with my purpose
Cultivate more focus
Enhance my magnetism
Connection with my spirituality
Exploration of magic
Animate feminine energy
Other:
How do you envision your life changing? What is holding you back from that now?
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Your answer
Please check all that apply to you:
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I'm interested in a 6 month private coaching intensive
I'm interested in a 2-3 month private coaching program
I'm interested in a group coaching coaching experience
I'm not sure what I'm looking for yet, but I want to talk about it
I am ready to sign up & invest now!
I have hesitations (please share below)
Required
Please include any questions/hesitations below!
Your answer
Have you ever invested in your personal evolution in the past? If so, what did that look like?
Your answer
Are you ready and able to invest the time, energy, and financial resources required to create sustainable transformation in your life?
Your answer
Is there anything else I should know about you?
Your answer
Thank you for your interest in working with me!
I'll be in contact soon.
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