Coaching Application Form - Flow State

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Prosperity Launchpad: FREE Coaching Call

SCREENING / APPLICATION FORM

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Name(Required)

Full Name

Email(Required)

Phone(Required)

Address(Required)

City Country

How many years of yoga experience do you have?(Required)

0

1-3

3-5

5-10

10+

Are you already a YTT200+ certified yoga teacher?(Required)

No, but I plan on getting my YTT200 teacher certification

I’m not a yoga teacher and I do not have plans to become one

Yes, I am a YTT200 Level Teacher

Yes, I am a YTT300 Level Teacher

Yes I am a YTT500 Level Teacher

My Finances Are…(Required)

Very strong - THRIVING!

Solid but hoping to improve

Barely scraping by

How long have you known about Dashama Konah?

Do you own your own business?

Yes, and it’s thriving!

Yes, but it’s not yet generating the income I want

No, I’m not a business owner

Which of the following describes you? (Check all that apply)

Holistic Health Practitioner

Interested in Alternative Medicine & Natural Healing

Interested in Hosting Yoga & Wellness Retreats

Interested in Entrepreneurship

Wanting to Start a Business

Plan to Attend Retreat(s) in 2023

Plan to Host Retreat(s) in 2023

Need Help with Current Business

Confused & Overwhelmed About Life

Eager to Make 2023 the Best Year Yet!

Interested in Online Courses & Trainings

Interested in In-Person Events, Retreats, etc.

Have you completed any of Dashama’s online courses, online or in-person events, or retreats? If yes, which one(s)?(Required)

My current Health, Wellness & Vitality are:(Required)

My Body, Mind & Spirit are THRIVING!

My Body is Healthy but I feel Unhappy.

My Mental Health & Spiritual Wellness are Strong, but I am dealing with Physical Health Challenges

I Don’t Feel Good About Any Areas of Health & Wellness Right Now

My Hopes, Dreams & Plans for the next 12 months:(Required)

My Biggest Area of Struggle or Challenge Has Been:(Required)

Mindset

Finances

Time Management

Other

Describe the breakthrough you would like to experience on a Coaching Call:(Required)

Tell us about yourself and why you believe a Coaching Call will support your life, and help you make a bigger impact in the world:(Required)

If your Application is Approved for a Coaching Call, are you 100% committed to showing up for the call and experiencing a breakthrough?(Required)

Yes

No

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