Please fill out this form so I can get to know you and see if you're a good fit for my 1:1 coaching program.

If your application is approved, you will receive an email in the next 48 hours to schedule your 30 minute discovery call. Please note that your discovery call is not a free coaching call. This is an opportunity for us to see if we're a match to work together and if so, to get started at my next available opening.

If you have any questions, please contact me at

Xx Chelsey
What's your name, love?

Phone number?

Where in the world are you located?

What do you help people with in your business?

Why do you want to help people with this?

What types of services do you offer?

Describe your offerings in as much detail as possible.
Who do you most want to work with? Describe your ideal client in detail below.

(If you need some help, go to
What bothers you about how things are currently done in your industry?

How long have you been in business?

Do you currently work another job?

If so, what is it?

How much time do you work each week? Doing what?

How many hours per week are you willing to dedicate to your business?

Why do you want to have your own business?

What would you get most excited about offering in your business?

How would you most like to be earning money in your business?

How much money would you like to earn in your business this year?

How much money are you willing to invest back into your business this year?

What are your biggest wins in your business so far?

What are you most proud of yourself for achieving in your life?

What's your big vision for what you'd like to be doing in your business 1 year from now?

What do you think you need to / should do to grow your business that really doesn't excite you (and maybe even stresses you out)? Write that down here.

Do you have an email list?

If so, how many people are on it?

How many people do you want on your email list by the end of 2018?

Do you currently have an opt-in gift? If so, what is it?

Do you have a website? If so, what is it?

What social media platforms do you use? List your accounts here please:

Have you done any business courses or worked with other business coaches in the past? If so, which one(s)?

What do you most want to get out of our time together?

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