Apply for Live Fulfilled Academy

Please complete the form below to apply to my next cohort which starts in January 2022.

Name

First Name

Last Name

Email

Phone

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Deep Dive Questions

What is the biggest challenge you’re experiencing now?

What is working well for you?

What have you tried before to overcome your obstacles?

Have you ever worked with a therapist before?

Yes

No

What's one thing you want to make a reality in the next 3 months? Why is it important to you?

What's important for you in a group setting? Why did you choose Georgie to work with?

Which option best describes you?

I have already decided this is the group for me. If accepted, I'm ready to pay and get started.

I have not decided if this is the program for me yet. I'd like to book a call with you to make a decision.

Do you have any concerns about starting? If so, please list all concerns.

The Group Coaching investment is a flexible payment plan of 3 monthly payments for $1k or $3k paid in full. If this is the right fit, are you ready to invest in the next 48 hours?

Yes

No

How did you find me?