COACHING APPLICATION | Julian Rosen

Name *

First

Last

Email *

Phone *

SELF EVALUATION

To ensure my coaching is as powerful as possible, I only work with 24 purpose-driven people every year. To make sure you are a good fit for this program, please answer thoughtfully and truthfully.

WHY COACHING? *

Why do you think coaching will help you, and what do you hope to get from coaching?

WHAT IS YOUR POTENTIAL? *

What do you believe is possible for yourself? Why aren't these changes happening in your life now?

Honesty Time: HOW DO YOU FEEL YOU'RE HOLDING YOURSELF BACK RIGHT NOW? *

CURRENT INCOME LEVEL *

COACHING ASSESSMENT

Be honest and intentional with your answers here. For you to experience the most powerful transformation as possible, we need to make sure you are ready to invest your time and energy in ways you have not before.

I AM READY TO DITCH ANY HABITS AND ACTIONS THAT HAVE KEPT ME STUCK, EVEN IF IT IS UNCOMFORTABLE TO DO SO *

I AM READY TO SHOW UP EVERY SINGLE DAY. PHYSICALLY, MENTALLY, EMOTIONALLY, AND PROFESSIONALLY *

I AM READY TO TAKE OWNERSHIP FOR MY CURRENT LIFE AND THE LIFE I AM CREATING *

I AM READY TO REDEFINE MY STORY AND WHAT IS POSSIBLE FOR ME *

I AM READY TO CHALLENGE OLD BELIEFS AND REPLACE THEM WITH MORE EMPOWERING ONES *

I AM READY TO INVEST IN MYSELF *

I AM READY TO TAKE ACTION IN THE FACE OF FEAR *

I AM READY TO REVERSE ENGINEER AND EXECUTE ON MY SUCCESS *

I AM READY TO CREATE IMPACT IN MY LIFE AND THOSE I CARE DEEPLY ABOUT *