Worksheet

Group Coaching Application

Are we a good fit? Can I help fill those gaps to get you to your destination?

I'm honored to be considered and I want you to know that I am 1,000-percent committed to doing so if we decide to hang out for the three months. 

1.

Name

2.

Phone

3.

Email

4.

What is the main source of confusion and chaos in your life?

5.

What have you tried on your own to UnChaos Yourself?

6.

How would things change for you if you could eliminate this problem?

7.

Do you have any repetitive negative patterns that you would like to eliminate and if so, please explain.