I cannot wait to get to know you and support & celebrate you every step of the way!

Private Mentoring

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First name

Last name

Date of Birth

Q1: Have you had coaching, counselling or mentoring in the past?

Yes

Q2: Are you ready to make real change within yourself and your life now?

Yes

If you answered yes to the first question, please detail what type of coaching/ counselling and other therapies you have tried and how they helped and any reasons why they didn't.

Why are you ready to make changes in your life now?

What are your top 3 things you want to see results with within yourself? (ie not triggered by certain people/ clarity/ postitive thoughts/ better body image etc)

What 3 things do you want to see results with externally ie change of location/ relationships/ finances/ Physcial Body etc

What are the 3 main reasons that have stopped you from making these changed until now?

What 3 obstacles will try to prevent you from achieving your goals?

What are your expections of this coaching program?

What does committing to yourself and this program look like to you?

I am ready to committ tomyself and make myself a priority

I am ready to take radical responsibility for my life and my choices

I accept terms & conditions

Your Signature

DATE

Private Mentoring Apply here

Private Mentoring

Apply here