First Name *

Last Name *

Phone *

Email *

1. What is the #1 thing you want to change about yourself before 2027? *

3. If nothing changes over the next 12 months, what do you believe it will cost you? *

4. What have you already tried to change this? *

5. Why is changing this important to you now? *

6. On a scale from 1–10, how committed are you to making this change? *

7. If you’re selected, can you commit to participating consistently throughout November and December? *

8. If you are not selected, would you be interested in discussing another way to work with Coach Jay? *

9. If you decided to continue working with Coach Jay, what could you realistically invest in solving this problem? *

10. Why should I choose YOU for the complimentary 60-Day Identity Transformation? *

Application confirmation *

I confirm I am 18 or older, my answers are honest, and I am willing to do the work between sessions. I agree that Coach Jay at Identity 2.0 may email me about this application and its selection outcome.

Optional coaching emails

Yes — send me emails from Coach Jay at Identity 2.0 about coaching options and related guidance. I can unsubscribe at any time. This is optional and does not affect selection for the complimentary spot.