Coaching Application
1:1 Coaching Relationship application form
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Email *
What are you applying for? Please note 3 month coaching journeys start at $749 nzd *
Full Name *
Email/Phone *
Location *
Have you worked with a coach before or a similar one-on-one adult relationship? (e.g. tennis coach, piano, mentor, teacher, and therapist)? *
If so, what worked well for you and what did not work in the relationship(s)? *
What are your top stressors?  (What causes you stress?) *
Rate your life satisfaction out of 10. 10 being highest. *
Describe your relationship with your family to me:
What do you require from me? *
What do you think is missing from your life? *
How will you know you have received your value for money? *
What is your favorite quote? *
A copy of your responses will be emailed to the address you provided.
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