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Before you begin your application, please read our Terms and Conditions.

Name *

Name

First Name

Last Name

Organisation/Company: *

Email *

Address

City *

Country *

Mobile phone *

Gender *

Birth date *

Birth date

YYYY

Occupation: *

Score the following statements out of 10 where 1 equals ‘No’, and 10 equals ‘Yes’

I want to resolve the barriers to my success: *

It is possible for me to remove barriers and resolve issues: *

I am willing to do all the work necessary to make the changes I want: *

I believe that I can easily achieve success with the right approach: *

If you score under 8 for any of the above statements, consider why you feel this way and what is stopping you from being a 10. Write your thoughts here:

Training gives you the opportunity to make major changes about how you feel and think about yourself and to ditch habits that aren’t helpful. Are you happy to do this? *

If you answered ‘no’ or ‘maybe’ to any of the above questions, please discuss this with your trainer prior to taking the course.

What do you hope to achieve from doing the course? *

What specific goals would you like to work on during your training? *

for NLP Coaching or Workplace training