1-on-1 to coaching is the deepest level of support & guidance I offer. I am with you every step of the way. Available by application only.

Please complete this application and put your heart and soul into it. After all, this is your life. Only those who submit the full application will be considered.

You will receive an email reply within 48 hours with the next steps in the application process. 

— Jeffrey
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Full Name *

 
Email *

 
Where do you live? *

 
What is your age? *

 
What is your relationship status? *

 
U.S. phone number (If international, include FaceTime and/or Skype ID.) *

 
What do you currently do for work or business? *

 
What specific circumstances have you reaching out for coaching right now? What's already working for you? What's not working? (Be as detailed as possible.) *

 
What do you want to improve and create in your life? What do you want to be experiencing in your life six months from now? 1 year from now? 5 years from now? *

 
What have you already tried to try to improve these areas of your life? Why do you believe they haven't worked for you yet? (Be as detailed as possible.) *

 
How is this issue that you're struggling with impacting your life? How has it affected your work, family, friendships, health? (Be as detailed as possible.) *

 
Are you currently under the care of doctors or therapists? *

 
What hesitations do you have about this opportunity? *

 
If you are a right fit for coaching, how serious are you about stretching yourself and investing significant resources (time + effort + energy + finances) into your personal development right now?  What level of commitment and dedication will you bring to this opportunity? *

 
How did you hear about me? *

 
Anything else you want me to know?

 
Thank you for your application. No matter what happens from this point, from my heart to yours, honor your courage in taking the first step to creating the life you truly want.

And I am looking forward to seeing if or how I can support you in creating the powerful results you want. You will receive an email reply within 48 hours to outline the next steps in moving forward.

Love and respect,
Jeffrey*

Be sure to continue and click "Submit Application" below!

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