Application | Mysite

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LIFE FORCE MOVEMENT

Holistic Health Practitioner

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Coaching Application

First & Last Name

Email

Phone Number

Location

Occupation

Describe in detail why you're interested in working together?

How would you rate your current willingness to make changes in your life? *

0 - low

1

2

3

4

5

6

7

8

9

10 - high

How much time can you honestly invest in yourself? *

0 - 4 hours/week

5 - 8 hours/week

9 - 12 hours/week

>13 hours/week

How much money are you willing to invest in yourself? *

$0 - $700/month

$700 - $1400/month

$1400 - $2100/month

> $2100/month

Anything else you'd like to share?

Thank you for your interest in Life Force Movement Coaching.

If you are a successful applicant, you will be contacted within two business days.

Victoria, BC, Canada

lifeforcemvmt@gmail.com

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