MindStory Academy

Application for VIP Coaching with Carla Rieger

This is a FREE Coaching Session Designed to Give you a Breakthrough

Please complete the survey below so that we have the necessary information to maximize the time we spend together on your call. If we think there might be a good fit, we'll contact you to set up the call.

First Name*
First
Last Name*
Last
Email*
Best "Contact" Phone Number
Current Website URL (if applicable)
Main Social Media URL (if applicable)
What type of business are you in (i.e. health coaching, facebook consulting, financial services)?*
What is motivating you to explore getting a coach right now?*
What do you most need help with?*
How did you hear about Carla Rieger or about this coaching opportunity?*
Do you have funds you could allocate for private coaching if it the fit felt right?
When are you ready to start working with a coach?*
- Right Away
- Next Week
- Within Two Weeks
- Sometime in the future beyond 2 weeks
- Not Sure
How committed are you achieving your goal?*
- I'm going to do whatever it takes to get to the next level
- It would be nice but I have a few other things that are my priority right now
- I’m really just exploring to see if I even want to commit myself
- Not Sure

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