Form Group Coaching

Welcome.

Thank you so much for your interest in the 6-month group coaching program.

Please answer the questions below, so I can gain a well-rounded understanding of who you are, what you're looking for and to ensure the program is a fit for you. Once submitted, I’ll review your application. If selected, I will send you an email to schedule a 60 minute introduction call.

But before you fill out the form, please make you sure you've carefully read the information on the From The Core page.

Thank you & I look forward to speaking to you soon.
‍
All the best,

Jord

1. Personal information.

First Name:*

Last Name:*

Email:*

Phone:*

Instagram

How did you hear about me?

2. About you.

Please tell me about yourself? Where are you from? How old are you? What do you or your business do?*

What is the #1 challenge you're currently facing in life/business? Please be as honest as possible.*

If you could overcome the challenges you're currently facing, what do you think could be possible for you?*

What is your top priority for joining this program? What do hope to get out of it?*

Why do you think am I the right coach for you? What made you reach out to me? *

3. Your commitment.

On a scale of 1-10, how important is this matter to you? 1 = “Starting to explore new ways” 10 = “Willing to commit to change." *

Please describe why it's important to you? *

This program requires an investment of $4500 USD. Are you able and willing to invest in yourself at this level? *

YESNO

If this program is right for you, are you able and willing to attend the weekly calls? *

4. Questions & thoughts.

Is there anything else you would like me to know before the call? Any questions or thoughts are welcome.

Thank you! Your submission has been received!

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