Jordana Michelle Coaching Application
First And Last Name*
Phone Number*
Email Address*
Job/Profession/Occupation*
Age*
What is your vision of who you want to be? And how would your life be different if you stepped fully into that?*
What do you want that you are not getting?*
What is not working in your life right now?*
What is one thing about your life that confuses you or frustrates you?*
What are three primary things you most want to create/experience?*
On a scale of 1-10 how ready are you to invest in changing your life?*
Why is now the right time?*
Please verify your request*
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