Work with Me Application

Lori Hayes Coaching & Program Application

This brief but important application will ensure that working together
is an ideal fit for both parties.

I work with a limited number of clients each month. Please take a few minutes to fill out the application below and I will reach out to discuss availability.

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Which program are you interested in?*

Success Accelerator 12 Month Program

Personal Coaching

Success Accelerator Ultimate VIP with Personal Coaching

Tell me a little about yourself:

Name*

First Last

Email*

Phone*

Where are you located?

What specific areas of your life do you feel you need coaching for?*

How would you describe your current mindset and thought patterns?*

What are the main challenges or obstacles that you face in achieving your goals or living a fulfilling life?*

What are your aspirations and what would you like to achieve through coaching?*

Have you previously worked with a coach or engaged in any personal development practices?*

How open are you to exploring and implementing new perspectives and strategies for personal growth?*

Are you willing to commit time, effort and finances to the coaching process and actively participate in exercises and discussions?*

What do you expect from a coach in terms of support and guidance?*

How do you typically handle setbacks or failures? Are you open to learning from them?*

Are you ready and motivated to make positive changes in your life and take ownership of your mindset and actions?*

Yes

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