NameFirst & Last Name *Email *Have you ever used a coach before? *YesNoWhat type of coaching are you interested in? * Life Coaching Business Coaching Both Do you have the funds or are you willing to find the funds to invest in coaching? *YesNoMaybeWhat has prevented you from reaching your goals? *How motivated are you to devote time, energy and money to reach your goals? (On a scale of 1 to 10 with 10 being higher and 1 being lowest.) *What's the biggest obstacle standing between you and your dream business or life? *If you are interested in Business Coaching, describe your business or the type of business you desire to start?If you are seeking life coaching, what particular goal or issue do you want help with?What type of program are you interested in? *One-on-One Ongoing CoachingOne-on-One Individual Coaching SessionVIP Half a Day Coaching SessionVIP Full Day Coaching SessionWhat else would you like Carmin to know as she considers your application?