Liberation Code 6-Week Program Application

Thank you for your interest in the Liberation Code 6-Week Program. This program is designed for individuals who are ready to break free from old limitations, step into their power, and reclaim their true potential. Please take a moment to complete this application to ensure that we are a good fit for each other and to help us tailor the program to best meet your needs.

Note: Space in this program is limited, and we carefully review each application to make sure that this program is the right fit for you.

Name

First Name

Last Name

Phone

Country

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What inspired you to apply for the Liberation Code 6-Week Program?

(Please share your current situation, what’s driving you to make a change, and what you hope to achieve from this program.)

What are the main challenges you are currently facing?

(Please share any specific challenges you’re dealing with in your personal or professional life that you feel are holding you back.)

On a scale of 1 to 10, how committed are you to making lasting changes in your life?

(1 = Not committed, 10 = Fully committed)

What do you hope to achieve after completing the Liberation Code Program?

(Be as specific as possible about the outcomes you want to experience. What do you want to see in your life, mindset, and relationships?)

What would success look like for you after completing this program?

Have you worked with a coach or facilitator before? If yes, what was your experience like?

What are you looking for in a coaching program?

(What type of support, tools, and guidance do you believe will be most valuable to you in achieving your goals?)

How do you feel about committing to six weeks of intense work and transformation?

(This program will require full participation. Are you prepared to take consistent action, engage in deep reflection, and step out of your comfort zone?)

Why do you feel you’re the right person for this program?

(Why are you ready to dive into this journey of liberation?)

Is there anything else you would like me to know about you or your situation?

How did you hear of us?