So you are interested in my life coaching program?
I just need a some info to get the application process started. Your answers will require deep thinking so give yourself about 20 minutes to fill the application out. Every applicant receives a 15 minute FREE consultation to get to know each other and determine if we are a good fit so once you fill it out I will contact you within the next few days. I look forward to working with you!
Apply now
What's your first name? *

Thanks for that, {{answer_8064434}}. What's your last name? *

I hate to be rude, but how old are you? *

On what days are you available for sessions?

And which time of the day works best for you? *

Where do you live? City, State *

Which package are you interested in? *

Why are you seeking life coaching sessions? *

Why do you think my program is right for you? *

Are you currently under the care of a doctor or therapist? *

Have you ever taken any other personal growth programs, seminars, workshops, or retreats? *

What areas of your life are you most satisfied with?

What areas of your life are you most dissatisfied with, {{answer_8064434}}? *

What is your relationship status? *

Do You have a Spiritual practice? If so, please describe. *

Do you have any major medical conditions or currently use prescription drugs? *

What are you afraid of most and why? *

What are your professional goals? *

What are your personal goals? *

What are your spiritual goals? *

Are there any dreams you have given up on? *

What are the top three things stopping you from achieving your goals? *

If you knew you could not fail, what would you do? *

What would your life look like in 10 years if you do not change now? *

What are you willing to do to change? *

{{answer_8064434}}, how would you rate yourself on your ability to ...

... keep your word? *

... come up with creative solutions? *

... take action on ideas? *

... be open about solutions or ideas? *

... get things done fast?

How would you like sessions to be conducted? *

Agreement *

I understand that Sol Ballard is prohibited, both ethically and legally, from disclosing any information I reveal to her. This includes the very fact that I am getting life coached. 

Appointment Scheduling, and Payment of Fees: I am aware that the charges are monthly and I am responsible to meet the minimum monthly fee even if I suspend the program. I am also aware that Sol Ballard has the right to change the terms of this contract at anytime. 

I understand that The Sol Ballard Program is NOT therapy.  I understand that Sol Ballard is not a licensed therapist, psychiatrist, psychotherapists or doctor and I will seek proper medical or therapeutic help as needed. I understand that Sol Ballard is not trained in psychiatry or psychotherapy and that working with a life coach may bring up extreme emotional states and I am fully responsible for managing myself and my state.  I take 100% responsibility for the actions I take while working with Sol Ballard.
I enter this relationship taking full responsibility for my participation in it and do not hold Sol Ballard, LLC responsible for my choices.  I release Sol Ballard, LLC from any liability or outcomes resulting from life coaching.

I have been informed of Sol Ballard's credentials.  I have also read the preceding information and understand my rights as a Client.
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