BLOOM into Power Application - BlaqueRose Coaching

Book your FREE Discovery Call with Leticia Francis now.

Duration: 25 minutes
Date:
Time:
Continue
Name: *
Email: *
Mobile: *
img_5007.jpg
Welcome to BlaqueRose Coaching and thank you for scheduling your Discovery Call.

The purpose of this application is to allow me to get a better understanding of YOU by exploring your goals, fears and aspirations. 

Additionally in order for me to help you reach your goals I would like to gain a clear understanding of your expectations for the coaching process. 

Take some time review and complete the questions below and we will discuss them further during our scheduled session.

What is the biggest challenge you are facing right now?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Please provide as much detail as you are comfortable sharing"}



How long have you faced this challenge?
{"type":"text","name":"__generic2","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"Please provide a length of time"}



What fears you the most?
{"type":"textarea","name":"__generic3","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Please provide as much details as you are comfortable sharing"}



What would like life look like if you were able to overcome your biggest challenge?
{"type":"textarea","name":"__generic4","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Please don't hold back here! Really imagine what life would be like"}


Review you last answer. Is that REALLY good enough for YOU?
{"type":"textarea","name":"__generic5","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Please dig a little deeper and describe your IDEAL life absent of any and all limitations "}



How do you think Coaching can help you achieve the life you described above?
{"type":"textarea","name":"__generic6","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Please tell me in detail what you are expecting from our Coaching relationship "}



How urgent is it for you to fix the challenge you mentioned?
{"type":"radio","name":"__generic","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Very Urgent - I will do what it takes\nModerately Urgent - It is important and i am working to fix it as best I can\nIt is not on the top of my list right now\nIt is not a priority at all"}




Working with me requires a low tier four figure investment. Are you ready to invest in yourself so you can finally live a life you love? 
Extended payment plans available. 
{"type":"radio","name":"__generic","width":100,"value":"","size":"Small","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Yes - 100% no more excuses!\nYes, might need a payment plan but I’ll find a way\nNo, Im not ready to invest, I can postpone getting solution now and live like this"}



Thank you for completing the BLOOM into Power application. I am sure this will provide me with some good insight on what we should discuss on our upcoming session

Talk to you soon!
Leticia