COACHING APPLICATION First Name * Last Name * Email * Confirm Email * Address1 * Address2 City * State * Zip * Country * Have you ever applied to Brad's coaching program before? * -- Select -- Select One Yes No Why do you want to change or improve now? * Why are you seeking change now? * How will you know when you have achievd what you want? * What in your current situation upsets you the most? How do you know your upset? * Are you able & willing to reinvest $300-$500 per month back into your business to take you to the next level & create the business of your dreams? * What is most important to you in your life and how do you know that? * What is holding you back? (recurring problems, limiting beliefs, unproductive habits, etc?): * What are your primary business/professional goals?: * List five goals you have currently (Now Vision): * List five goals you want to accomplish within the next 12 months (Near Vision): * List five goals you want to accomplish in your lifetime (Far Vision): * What are you willing to do to achieve your goals? [Don't say whatever it takes - be specific, please]: * What are your professional strengths and assets? * What accomplishments are you are most proud of in your life and why?: * If you are accepted as a client, what do you most want to get out of our coaching relationship?: * How would you know if you are getting it?: * Comments/Questions - Please share any comments, questions, thoughts or concerns that Brad should know about while reviewing your application. * Required Fields Submit
