Coaching and Mentorship with Leah Cullis
Please answer the following questions so we can learn more about you and ensure that you are a good fit for these programs! This is a starting off point for us to know you, your interest, background, and how we can best serve you.
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Email *
First and Last Name *
City *
Phone number *
instagram handle *
Please share the three specific areas or goals you are looking for support with in your life, relationships, business, and/or purpose. *
What challenges are you currently facing or looking to overcome in all areas of your life? Please be specific. *
What do you do for work? Please provide details such as how long you've been doing this, and what services you provide. *
What in your life right now is calling you to seek support?  *
What are your top intentions for working together? *
Do you have a spiritual practice? If yes, please describe your practice and also what you gain from your commitment. *
Have you worked with Leah before? Or with any other coaches/programs? If so, please provide details! *
What yoga, personal development, transformational based courses, workshops, seminars or retreats you have completed? *
Which of Leah's offerings sound most supportive for you at this time? *
Required
What would success look like for you as a result of investing in yourself and working with Leah? *
Are you ready to invest in yourself in order to create elevate your energy, uplift your mindset, and amplify your fulfillment? *
To ensure you are a fit for your desired offer, what the amount you're willing to invest in yourself monthly at this time? *
Required
Is there anyone else you would get to run by your financial decisions by? If so, do they know that you're interested in hiring a coach or investing in yourself and are they supportive? *
If Leah should decide you are a good fit, when is your ideal start date? *
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If someone referred you please write their name here (can be N/A): *
Thank you for your application!
We'll be in touch soon with next steps and the link to schedule your discovery call.
A copy of your responses will be emailed to the address you provided.
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