1 on 1 Coaching Application Form
STOP Wasting Time Dating And Find The Authentic Companionship You Deserve
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What is your name? *
Where are you from? *
What is your age? *
What is your profession? *
What is your current relationship status? *
What is your rough salary? *
Do you feel fulfilled in your dating/relationship life right now? Why or why not? *
Do you have a vision for your dating/relationship future? Tell me about it. *
What patterns are you dedicated to not repeating in the future? *
Have you done any personal development or coaching programs before? *
Out of 10, how dedicated are you to cutting your vision a reality? *
What is the #1 problem that, if you solved it, would allow you to be as successful in love as you are in other areas of life? *
What is your phone number? (if successful, you'll receive a 5-minute call from a team member. This information is kept strictly confidential) *
What is your email address? *
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