Basic Info
Coaching Request
I am seeking coaching for
- My Adult Self
- My Tween Child (ages 10-12)
- My Teen Child (ages 13 - 17)
- A Young Adult (ages 18-23)
- My Family
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I prefer
- Face 2 Face / Zoom or In Person
- Text & Voice Note Based
- Group Coaching
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Desired level of coaching
- Casual Connection Based Coaching
- Intentional Personal Growth & Development
- Intense Goal & Achievement Based Coaching
- Critical Crisis Management
- VIP Access 24/7 Coaching Availability
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Coaching Focus
What areas do you need the most support in?
- Mental/Emotional Wellness
- Relationships (Family, Dating, Parenting)
- Faith & Spiritual Clarity
- Personal Growth & Identity
- Business Strategy & Vision
- Leadership or Team Building
- Healing from Past Trauma
- Life Transitions (Divorce, Loss, Relocation, etc.)
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Background Info
Have you worked with a coach, therapist, or mentor before?
- Yes
- No
- Kind of, but inconsistently
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Logistics & Fit
Are you interested in being part of a virtual community of growth-minded people?
- Yes
- No
- Maybe later
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What's your preferred coaching setup?
- Just need one good clarity session
- I want ongoing support (monthly or full package)
- Not sure yet - open to hearing options
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Coaching Investment
If nothing changes in the next 6-12 months, what areas of your life are most at risk?
- Emotional Well-being
- Marriage / Relationships
- Parenting
- Career or Business Growth
- Financial Stability
- Confidence / Identity
- Discipline & Consistency
- Mental Clarity
- Direction & Purpose
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How committed are you to doing consistent internal and external work over the next 90 days?
- 10 - Fully committed, ready to execute
- 8-9 - Very committed, may need accountability
- 6-7 - Willing, but unsure of consistency
- Below 6 - Exploring but not fully ready
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Are you prepared to prioritize scheduled sessions, assignments, and reflection time each month?
- Yes - I will prioritize this fully
- Yes - With proper scheduling support
- Possibly - My schedule is currently inconsistent
- No - I am unsure I can commit time right now
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LIFE Coaching is a Financial Commitment, have you budgeted for your level up?
- Yes, I am ready to invest $750 - $1,000 monthly in my growth
- Yes, I am ready to invest $250 - $750 monthly in my growth
- Yes, I am ready to invest $50 - $250 monthly in my growth
- Possibly, I would like to book a consultation session first.
- Not right now, just researching.
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