Group Coaching Application

Are You Ready to Transform Yourself?

Have you survived a challenging transition in life and you’re ready to transform yourself?

Fill out the information below to give me a little more information on yourself and we will schedule a time to chat!

You Got This!

~Jasmine

Full Name*
Email*
How long have you been divorced?*
What is your biggest challenge right now?*
What results are you desiring from group coaching?*
Are you willing to participate in group discussion via video chat and social media?*
- Yes, I'm excited for coaching and peer feedback
- Yes, but I'm introverted and will probably be more engaged on social media than the group chats
- No, I'm pretty shy I would prefer to just attend the sessions but not chat or engage on social media
Are you willing to put in the work to transform yourself by creating your own personalized life recipe?*
- YES
- No
- Depends
Do you have the funds to invest into transforming yourself by coaching with Jasmine Rice?*
- Yes, I am able to invest into my transformation
- No, I don't currently have the funds, but I'm 100% committed to figuring it out
- In all honesty, I'd love to work with you, but there is no way I can come up with the investment at this time.
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