Apply to Work With Patty
Upon submission, I will review your application and contact you withing 72 hours if I think we might be a good fit and with any next steps. Submission doesn't guarantee a coaching spot. 
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Email *
What's your Name *
What's Your Phone Number  *
What's your gender? *
What's your #1 struggle when it comes to stopping drinking?  *
What does success look like to you? What would you like to accomplish in the next 3 months?  *
How committed to your goals are you on a scale of 1-10? *
Not very committed
Super Committed
Thank you for your responses. Is there anything else you would like me to know? 
A copy of your responses will be emailed to the address you provided.
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