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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