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Application for 1 on 1 coaching

Please fill out the following questions

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Question 1 of 5

Are you ready to live a life of excellence?

A

Yes

B

No

Question 2 of 5

What age range are you in?

A

18-30

B

31-45

C

46-60

D

61+

Question 3 of 5

Why do you want Leadership Coaching?

Question 4 of 5

What is your annual income bracket?

A

$0-$65k

B

$66-$150k

C

$150-$300k

D

$300k-$1M

E

$1M-$10M

F

$10M+

Question 5 of 5

What do you see as your number one challenge right now?

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