ALIGNMENT COACHING APPLICATION
Name:
*
Where are you right now? Be honest. One or two sentences is enough.:
*
What's the primary pattern holding you back? Select all that apply:
*
Alcohol
Substances
Food addiction
No Structure
Pornography
Isolation & avoidance
Other
What does your life look like in 90 days if this is solved? Be specific, not what you hope for, what you're going to build.:
*
What happens if nothing changes in the next 6 months? Don't filter this. Write what you actually know to be true.:
*
Are you ready to make an investment in yourself to fix this?:
*
Yes I՚m ready
I՚m working toward it
I need more information first
When are you ready to start ?:
*
Today
This week
I՚d like to book a call
Email:
*
Phone:
*
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