In-Person Training or Face to Face Coaching Application – Power. Agency. Results.

This is a coaching application form to work in person with Jess Cutting – lifestyle coach and mentor.

This form is designed to give us both some insight into what you want to achieve from coaching and whether we are a good fit to work together. The team I work with is a group of positive, honest and dedicated people and I expect anyone I begin working with to share these values. For best results, you need to be:

  • Open to feedback: as dedicated to achieving your results as I am
  • Owning your results: wins or opportunities, be prepared to own it
  • Committed to learning: education is the key to maintaining results
  • Ready to succeed: aware that results take commitment and rising to challenges


Let’s get PUMPED UP for this next step in your journey!

Please fill out the below as completely and as honestly as you can.

First Name
Last Name
Email Address
Contact Number
What goal/s have most motivated you to contact me?
Why is this important to you?
How do you want to feel once you have achieved this?
And how are you currently feeling?
On a scale of 1 to 10 (with one being not very and 10 being completely), how motivated are you to achieve your goals?
Is there anything stopping you from getting started today?