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JESSICA AMENDOLA
1:1 COACHING APPLICATION
13
Questions
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1
Name
First Name
Last Name
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2
Email Address
example@example.com
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3
Your Age?
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4
Where are you from? Where were you raised and where do you currently live?
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5
What was your childhood like?
Just a brief description - we will most likely dive into this in our work together.
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6
Do you currently struggle with any mental health conditions?
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7
What area of your life are you most seeking support in?
This could be in your relationship, friendships, work/career, spiritual journey, trauma healing, etc.
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8
What goals do you have for working with me?
Imagine 6-months have passed, what changes/improvements would you like to see in your life?
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9
What (if any) experience have you had with personal development work?
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10
Have you ever taken the leap to invest in yourself and your own growth?
(this could be financially, with your time, with your own love, seeking healers, etc)
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11
Do you feel ready to do so?
Saying "YES" can be a powerful affirmation to ourselves and to the Universe (even if there is still doubt present).
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12
At this time, are you most seeking my support in a committed container (3 or 6-months deep dive) or in a single session?
There is no wrong answer :)
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13
THANK YOU for your submission!
You will now be redirected to a link for scheduling our consultation call. This video call is $75 and will be credited towards your package if we choose to work together in a coaching container.
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