The Naked Life Coach Application I offer a Free Discovery Call to select potential clients. Please complete this Client Application to begin the process. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Skype ID (Optional)(Required for any calls outside the USA)Street Address *City, State, Zip/Postal Code *Where did you first hear about me? *Personal ReferralInternet SearchSocial MediaIf someone personally referred you, please tell me their name. If it was an internet search, what were you looking for? *In what areas do you seek coaching? *RelationshipsFinances/CareerMental/Emotional WellbeingPhysical Health/FitnessCommunication SkillsOther Self-GrowthCheck all that apply. What do you want to achieve through coaching? Be specific and detailed, and list all your goals. *Please describe the all goal(s) you are working towards.Be 100% honest... What has stopped you from achieving these goals, so far? Again, be specific and detailed, and list all your challenges. *Please describe all the challenges you are facing or whatever has held you back.What would be the most important criteria for your success as we work together? (select all that apply) *Achieve emotional wellbeingFix or improve existing relationship(s)Find your perfect partnerStart a new business or career moveImprove physical healthComplete your project(s)Spiritual growthPersonal developmentOrganization & time managementAre there any other criteria for your success that aren't on the above list?(optional)What has motivated you to get coaching now, and why choose The Naked Life Coach? *What is happening in your life currently, and how can I help?What types of products and/or services will fit your needs? *Video Conference Session (Skype)Live In-Office Session (Phoenix, AZ)Group Coaching & ClassesOnline Training CoursesPay-Per-Minute Phone CoachingSelf-Help BooksCheck all that apply. How often would you like to receive coaching? *Daily (5 days per week)2x per week1x per week2x per month1x per monthOccasionally as neededNon-sexual nudity can provide several benefits to the life-change process, however, it is always optional and to your comfort level. Would you prefer nude or clothed sessions? *NudeClothing Optional (I'll decide during the session)Clothing OnClothing Required (participants under 18 years of age attending)Not Applicable (I prefer video training/books/phone/IM/email)Do you have any additional questions or comments?It is important that you realize that some things may be resolved quite quickly and easily during coaching, with the techniques at my disposal, while other things may require quite a bit of time and energy on your part. I offer high-ticket, high result, short term programs to help you achieve your goals and dreams as quickly as possible. Are you willing to commit to putting in that time, energy, and money, on your own behalf?Yes! I'm willing to make that commitment to myself. Maybe. I have questions. No, I can't commit at this time. Other, please specify below...If the answer above was maybe, no, or other, please let me know what would stop you from committing to your personal development?Are you able to afford cash for a high-ticket coaching program, or if not, are you willing to use credit? *YesNo(Only if working 1-on-1 with me to help you permanently improve your life made sense and you wanted to move forward. of course. Answering yes here does not guarantee that we will be a good fit to work together.)Does your spouse or significant other fully support you? (Meaning they will give you a thumbs up on whatever you decide) *YesNoNot ApplicableHow would you like me to contact you? *Phone CallText MessageEmailWhat are the best days & times to reach you? Note: please specify your time zone as well. ** Within my business hours: M-Th 3-9 PM, Fri 3-6 PM MST-AZ (GMT-0:700)PhoneSubmit Coaching Application