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Work With Me Application

Please fill out this form so I can learn more about you, your goals, and how I can best support you.

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Question 1 of 15

First & Last Name (required)

Question 2 of 15

Pronouns

Question 3 of 15

Email Address (required)

Question 4 of 15

Phone number (required)

Question 5 of 15

How did you hear about Amber? (required)

A

Instagram

B

Facebook

C

Podcast

D

LinkedIN

E

Google

F

Referral

G

Conference

Question 6 of 15

What are your current challenges in regards to stress and/or burnout (emotionally, mentally, physically, etc.)?

Question 7 of 15

When it comes to addressing your current challenges, what’s been working well for you so far?

Question 8 of 15

What are you specifically wanting support with during our time together?

Question 9 of 15

What are your biggest goals you’re working toward, both in your career and your personal life?

Question 10 of 15

What transformation/growth do you want to experience as a result of mentoring with me? Why am I the right mentor for you?

Question 11 of 15

What have you already tried doing to create these desired outcomes (i.e. coaches, courses, etc.) What results did you achieve?

Question 12 of 15

Changing the beliefs and patterns that have guided you for years takes time.

Are you ready & willing to invest your time, energy, and resources into making changes - knowing that results happen over time?

Question 13 of 15

Private coaching with Amber ranges from $1k-3k per program. Assuming we both agree it will be a good/right fit to work together, are you willing and able to invest in your personal growth right now at this level?

Question 14 of 15

What would it take for you to feel a FULL-BODIED YES to working with me?

Question 15 of 15

Anything else you want me to know?

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