Apply for Complimentary Strategy Session

Please fill out the form below in vivid detail to apply for a complimentary strategy session with Michelle Courtney Berry or another coach on her team. The more information you provide, the better we can assess your needs and our ability to help you obtain a life of EPIC SUCCESS. Dream big and GO ALL OUT on this form!

Don’t hesitate and don’t hold back!

Full Name *

First Name Last Name

Your Date of Birth *

Month Day Year Date Picker Icon

Phone Number (work) *

Area Code Phone Number

Phone Number (cell) *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Skype Address

Facebook User? *

Yes No

Best Email *

What is your #1 goal over the next 30 days? *

How Long Have You Been In Business or at Your Current Place of Employment? *

What is your strongest beliefs about yourself and your place in the world right now? *

What are your top three goals for this year?

First Goal *

Second Goal *

Third Goal *

Which goals do you feel you will have the most trouble achieving? *

Over the next six months, what would you like to see change or happen to radically improve in your life? *

What have you already tried? What was the result? *

Are you available by email to receive details? *

Yes No

Please share a couple of your BIG AUDACIOUS goals that you wish to achieve in the next 3-5 years. *

What are you hoping to receive from coaching and how committed are you to receiving that result? *

What action are you ready and willing to take RIGHT NOW to make to up-level and transform your life? How willing are you to make that investment? *

Due to our 100% commitment to ensuring RESULTS, we take a limited number of coaching clients each year. Coaching clients must be coachable, do the work as assigned, be on time, and not make excuses.

Clients receive unlimited email support and private Facebook groups to network with other members of the Tribe. It is imporant that you have access to Facebook or a Facebook account.

Finally, It is imperative that when your coach writes you, you respond via e-mail ASAP or within 24 hrs. at the latest.

Do you feel you will have trouble meeting any of these objectives? *

Yes No

Do you feel that your goals can be met by coaching? *

Yes No

What is your monthly budget for life coaching? *

Are you willing to invest at least $997 to radically improve your life? *

Yes No