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Coaching Application

Your Name (required)

Your Email (required)

Phone

Your country of residence and time zone

Skype ID

What is the biggest issue you are facing right now?

How much money are you realistically prepared to invest in having an amazing love life/relationship?
$100-300$300-1,000$1,000-3,000$5,000-10,000$10,000

Click all that apply to you right now
I am single and want help with my love lifeI am in a relationship and want to know if it’s the right one for meI am in a relationship and want to work on making it the best relationship possibleI am in a relationship and want to improve my sex lifeI need help making a major life decision and want another perspectiveI need help getting over an exI need help navigating a new relationshipI need help with my emotions

Why did you decide to fill out this application?