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1:1 Coaching
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Full Name
Your Email Address
Phone Number + Area Code
What license or degree do you currently have?
What is your dream business?
What are 3 goals you have in the next 3 months?
What do think is your biggest hurdle to reaching those?
Have you worked with another coach?
Yes
No
On a scale from 1 to 10, how much of a priority is it for you to get started right now?
1 - Not commited to making changes
2
3
4
5
6
7
8
9
10 - Ready to change my life in a big way!
Tell me about the business you want to start, or about the one you already have:
How many clients do you want, and what price point do you want to enroll per month?
Are you currently employeed?
Yes, Full-time
Yes, Part-time
No, my partner supports me
No, I don't have anyone helping me financially
Self-employed
Total current monthly income from your job or business?
What is your target monthly income?
What do you think is stopping you from hitting your target monthly income?
On a scale of 1 to 10 how would you rate your BELIEF that you will be successful with online coaching?
1 - I don't think I can do it
2
3
4
5
6
7
8
9
10 - I will be super successful!
What do you hope this coaching program will give you?
If we are a perfect fit, how soon would you want to get started to reach your goals?
Are you willing to invest in yourself financially to start + grow your business? (The investment for this program is 10K, flexible payment plans & funding available)
Yes
No, I'm not willing to invest in myself
Which of these sentences best describes where you're at with revenue, lifestyle, and priorities?
I am barely scraping by and do not see it getting better until I invest in myself
I am living paycheck to paycheck, but willing to invest to improve my life & make more money
I am financially stable, but I have to be tight with my spending
I am financially stable and have extra to spend on coaching & education
Do you need your partner or spouse on the call in order to make a decision?
Yes
No
What questions do you have for me before our call?
Do you promise to show up to our call on time without distraction?
Yes
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