Coaching Application

Full Name*

Email*

Phone number (include international prefix)*

Social Media Account*

Please tick which coaching / mentorship packages you are interested in?*

Basic (5 Weeks) Empowerment (8 Weeks) Mentorship (12 Weeks) Performance (6 Months)

Please explain why are you interested in these packages*

Please explain any current problems you are facing and wish to tackle with Martin*

How will tackling these problems help you reach your business, work or life goals?*

Using the scroller below score on a scale of 0 - 10, how motivated are you to reach new levels of performance?*

0 10

On a scale of 0 - 10, how much would reducing stress by 50% help boost your focus, energy and productivity?*

0 10

On a scale of 0 - 10, how willing are you to invest into yourself right now?*

0 10

What your current budget for coaching / mentoring?*

$0 - 1k $1 - 3k $3 - 5k

What's the best way to contact you to arrange a zoom call?*

Email WhatsApp Social Media

Application for Coaching / Mentorship Questionnaire