Shine Brighter!


Coaching Application




Interested in working together towards your mental fitness goals?


There are limited seats available for my upcoming personal coaching. Selection is based on those that are an ideal fit and are in the best position to do the work required to get results.


First Name
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Last Name
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Email
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Phone Number
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Occupation
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What do you need my immediate help with? (Choose as many as you’d like)
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How much time a week do you have to focus in our assignments and goals?
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Are you willing to work on assignments if needed?
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Tell me more about you (personally and professionally). Where are you now in life and where do you want to be? What goals do you want to accomplish? (Write as much as you’d like. The more I know about your story and goals, the better I can assist you in getting there.)
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What’s holding you back from starting/reaching your goals? Where are you stuck? What hurdles are you running into? What are your biggest challenges? (Write as much as you’d like. The more you share, the more I can help you.)
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What have you tried so far to reach your mental fitness goals? What results have you received so far?
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Why now? Why is figuring this out and getting this done so important to you right now? What happens if you don’t take action?
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What’s your overall mental fitness goal? Where are you now in regard to that goal? What will be different about your when you reach your goal?
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I’m selecting a limited number of clients for my upcoming program. Selection is based on those that I feel are an ideal fit and in the best position to do the work required to get results. Is this something you’re able to commit to?
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1. How did you hear about me?
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Why have you chosen me to be your mental fitness coach?
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What are your expectations after the training?
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