First name*

Last name*

Email*

Phone*

Are you currently involved in a church? If so what is your church name? If not please explain why*

What led you to seek spiritual/life coaching? (DISCLAIMER: coaching is not therapy or counseling**)*

What are 2–3 specific areas where you feel stuck or unclear?*

What would “success” in coaching look like to you?

On a scale of 1–10, how would you rate your current clarity around your identity and purpose? *

Are you ready to commit to the 5 week group coaching for $299? Will you need a payment arrangement (split into 2 )?*

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