Application: 3 Month Coaching Program

Thank you for your interest in Josh's 3 Month Coaching Program. Please complete the questionnaire below and a member of our team will be in contact with you in the next couple of days. We require this questionnaire in order to be considered for the 3 month coaching program. If you have any questions, please reach out to us at info@committedimpulse.com.
Name
First Last
Email*
Mobile Phone*
Please list previous CI course(s) you have taken.*
What is it that you want to create that would be so life-changing, you are willing to invest time, energy and money into it?*
Please describe your business and life as it is right now*
What would make a coaching engagement a life changing experience for you? What would need to happen?
What are the top 3 goals you'd like to achieve over the next year?
What do you think is your biggest obstacle in achieving those goals?*
What is it costing you NOT to achieve your goals? Be specific and reply in terms of lost money, time, relationships, health and happiness.*
For actors only: Do you need help developing a character, and making choices, for a specific project/audition by implementing the tools of Committed Impulse? Explain.
How did you hear about CI?*

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