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UW Group Coaching Program Application (Spring 2023)

Thank you for your interest in joining the Unconditionally Worthy Group Coaching program.

This brief application will help me to get to know you and determine if you are a good fit for the program. Please answer the questions as completely and honestly as possible.

Click the button below to start.

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Question 1 of 13

Full Name

 

Question 2 of 13

Email Address

 

Question 3 of 13

Phone Number

 

Question 4 of 13

What is your age range?

A

20-25

B

26-29

C

30-35

D

36-45

E

Over 45

F

Prefer not to say

Question 5 of 13

What stage of your career are you in?

 

A

Early Career

B

Mid-Career

C

Late Career

D

Retired

E

Still in School

F

In Transition

Question 6 of 13

What is the biggest challenge you're having related to self-worth right now?

 

Question 7 of 13

What have you done to try to feel worthy?

 

Question 8 of 13

What personal transformation are you most hoping to experience through the Unconditionally Worthy Group Coaching Program?

 

Question 9 of 13

What are the costs of not addressing your self-worth challenges?

 

Question 10 of 13

What, if any, reservations do you have about joining the program?

 

Question 11 of 13

Have you done therapy or coaching before?

 

A

Yes

B

No

Question 12 of 13

What questions do you have about the program?

 

Question 13 of 13

How did you find out about me?

 

A

TEDx Talk

B

Attended talk or Workshop

C

Podcast

D

Instagram

E

Facebook

F

LinkedIn

G

Friend or Family Member

H

Other

Confirm and Submit