Application for Private Coaching with Cara

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Hello!

I can't wait to learn more about you and your goals. Below are some questions so I can learn more about you as well to make sure we're the best fit.

Please note: the investment for my 3 month program is $10k.

Please fill out this form and we'll be in touch soon. Please keep an email out from Jennifer@TheChampagneDiet.com. If you don't hear from us within 2 business days, be sure to check your spam/junk folder as sometimes emails can get easily lost.

I can't wait to work with you!

Thanks!
Cara

Full Name: *

Email Address: *

Occupation/Business: *

Website and/or social media links: *

Have you ever worked with a coach before?
*

Yes

Other:

Let's chat! Tell me about yourself! *

What is the number one challenge in your life and/or business at the moment? *

What are your goals with coaching? What would you like to accomplish during our time together? Please be as specific as possible. *

Do you consider yourself motivated? *

Yes

Sometimes

Other:

Are you willing to commit to yourself? *

Yes

Not Sure

Other:

Any additional information that would help me get to know you? *

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