Life Transformed Coaching Application - Adventure in Oneness with Rikka Zimmerman

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Life Transformed™ Coaching Program

Coaching Program Application

This application has 14 questions. Every blank field is required. You may choose to type "N/A (Not applicable) for any question you do not want to answer or that does not apply to you. We can't wait to receive this from you!

NOTE: We recommend you first write your answers into a Word or other type document so that you can have a saved copy on your computer. Then you can copy and paste those answers into this form.

First Name *

Last Name *

Country *

Email *

Best Phone Number

Do you have a website? If so, what is your website address?

Were you referred to this program by anyone? If so, what is their name?

1. What special talents, abilities and gifts do you have that you are excited to bring to the world? (Please note: any boxes that have the three lines in the bottom right hand corner can be dragged with your mouse so that you can see your full answer) *

2. From a scale of 1 to 10 (10 being highest) how committed are you to creating a life of your dreams? *

3. Who are some of the most influential mentors, teachers, or coaches in your life and why? *

4. What do you want to get out of this program? *

5. What is your biggest issue in your life right now? *

6. How would you describe your spiritual practice? What does being spiritual mean to you? *

7. What classes have you taken of Rikka’s? *

8. How has your life changed since you began working with Rikka? *

9. Why do you want to be a coach? Or, if you are a coach what do you love about being a coach? *

10. If you were to receive a year-long coaching program teaching you the tools and techniques of coaching and facilitating, getting you past your energetic blocks, and business tools, what would you expect to pay for this program? * *

11. Do you have a coaching or healing business right now? If yes, please tell us about it. How many years have you had your business? *

12.What’s your biggest challenge, fear or frustration in your business/work life? *

13. What would you like to accomplish in your business/work in the next 1-5 years?

14. Is there anything else you want us to know about you? *