Stolen Identity: 12-Week 1-on-1 Coaching Program Application

This application helps determine whether the 12-Week 1-on-1 Coaching Program is the right fit. This is a private, high-accountability coaching experience.Not every applicant will be accepted.

Answer honestly and thoroughly.

Contact Information

First name

Last name

Phone

Context & Life Stage

What area of your life feels the most unstable or unclear right now?

Pain & Awareness

In your own words, what is your current pain point?

What happens if this problem doesn’t change in the next 6–12 months?

Readiness & Responsibility

What have you already tried to fix this issue?

Why do you believe 1-on-1 coaching is necessary at this point?

Commitment Qualifier

This program requires consistency, honesty, accountability and execution. Which best describes you right now?

I am ready to take full responsibility for my growth

I’m exploring options and want more clarity

Are you prepared to invest time, energy, and financial resources into a 12-week coaching process?

Yes

Final Confirmation

Why should I consider working with you?

Long Anything else I should know before reviewing your application?