Thank you for your interest in working with Coach Costa & CONGRATS on taking the first step. Please fill out this application and we'll be in contact with you in 1-2 business days. Sound good?
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Full Name
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Email
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Phone
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Date of birth
Have you ever worked with a coach before?
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Tell me briefly about your goals and why you're interested in working with a coach:
What do you need support with right now? Be as honest as you can be. The more details we know about you, the more we can help.
Are you willing to invest in coaching if you feel it’s what you need?
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Where did you hear about my coaching program?
On a scale of 1-10, how committed do you feel you would be if you joined my program?