APPLICATION | Be Better Than You

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PLEASE FILL OUT THE FORM BELOW TO BE CONSIDERED FOR 1:1 COACHING WITH SHAY

First name

Last name

Email

How did you hear about us? * Required

Word of Mouth

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Shay

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Phone

Age * Required

18-24

25-34

35-44

45-55

55+

What are you currently seeking help for?

What is the biggest challenge in your life right now?

Do you own a copy of the book, Be Better Than You? *

Yes

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On a scale from 1 to 10, how prepared are you to invest in yourself? (1: Not Prepared, 10: All In) *

1

2

3

4

5

6

7

8

9

10

Why do you want to work with Shay?

Which best describes your current state?

Be Inspired. Be Better

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