Britt-Certified - Coach Certification Application

Full Name *

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Email address *

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Best number to reach you *

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What is your main goal for the Coach Certification Program? *

Stop eating emotionally
Become a weight loss coach
Improve my coaching practice
Change careers

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If you had a magic wand, what would you change about yourself or your life? *

Please list your dreams and desires here

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Do you currently have a coaching practice? *

Yes, and I've got tons of clients
Yes, but I'd like more clients
Not yet but I'm working on it
No but I'm interested in starting one

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What is your skill level with EFT/Tapping? *

It doesn't matter if you are certified, we just want to know how comfortable you are with the modality

Beginner
Intermediate
Advanced
I use EFT in my coaching practice

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What other modalities are you familiar with? Please list years of experience and skill level. *

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If we help you completely transform your body and life will you help us spread the message by submitting before and after photos? *

Yes
No
I'm not here to lose weight

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Are you willing to commit to your transformation? *

This program requires a significant investment of your time, energy, dedication and cash (think 4 figures). We will help and support you every step of the way, and ensure that it's worth every last drop of effort. Are you willing to commit?

Yes, I'm so ready
I can't make a commitment at this time

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How much are you able to invest in your education at this time? *

$1500 - $3000
$5000 - $7000
$7000 - $10,000

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