Coaching Application

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Fill out this application so I can learn more about you to see if custom coaching program would be a good fit for you.

Email *

First name *

Where are you located? *

What are your top 3 goals for the next 12 months? *

What are you most wanting to achieve in the next 6 months in regards to your health and wellness? *

How can I help you to be more effective in working towards your goals? *

Here are some ways coaching clients work with me. Which of these appeal to you? (select any that apply) *

Brainstorming strategies together

Support, encouragement, and validation

Insight into who you are and your potential

Painting a vision of what you can become or accomplish

Exploring possibilities and building on past successes

Accountability; checking in on goals

Suggesting or designing action steps that lead to greater effectiveness and joy

Required

What energizes you in your life right now? *

What feels out of balance in your life right now? *

What approaches to change have you found less effective and frustrating for you? *

How would reaching your goals positively impact all areas of your life? What would that look like for you? *

On a scale from 0 to 10 (0 being not ready and 10 being extremely ready), how invested are you in order to make the necessary changes and improve your life? *

Is there anything else you'd like me to know? *

What is your instagram handle? (if you don't have one, put n/a) *

Thank you so much for your application. I look forward to reading it and will be in touch soon.

Alexa

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