Coaching Application - Linda Mercer

Hello! I am excited that we've found each other, and for your interest in working together.

Please fill out the application below to the best of your ability.

You will receive notice in 72 hours if you are a good fit to move on with working with me, as you hop on a call with Linda.

I'm excited to read all of your heartfelt responses!

Email Address*
Which coaching package are you interested in?*
- A Life You Love Full Day Intensive (6 hrs)
- A Life You Love Half Day Intensive (3 hrs)
- Autoimmune Freedom 1:1 Coaching (3-mo)
- Autoimmune Freedom 1:1 Coaching (6-mo)
- Life Coaching 1:1 (3-mo)
- Life Coaching 1:1 (6-mo)
- Health Coaching 1:1 (3-mo)
- Health Coaching 1:1 (6-mo)
What interests you most about working with Linda 1-on-1?*
- Getting My Energy Back
- Getting My Brain Back
- Healing My Digestion and My Body
- Enjoying Life Again
- Emotional Healing
- Discovering My True Self
- Connecting with My Spiritual Self
Which of the following best describes you?*
- Wellness Warrior - excited and open to doing whatever it takes to take back my health and live a life I love.
- Wellness Newbie - Just starting to look at non-drug solutions and not sure where to start.
- Wellness Procrastinator - always looking for new treatments, investing in new doctors, diet programs, supplements, but find myself held back and feeling overwhelmed, not ready, or blocked from taking action in some way.
Which of the following MOST CLOSELY describes your biggest challenge in taking your health back?*
- Fear of change
- Fear of giving up foods you love
- Lack of follow through
- Not sure how to do it
- Self-Doubt + Limiting Beliefs
- No Time
- No Energy
What are your top 3 goals for the next 3 months to take back your health?*
What is your commitment to achieving these goals?*
- Not committed
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- Fully committed
Where do you feel you need the most support right now?*
Anything else you'd like us to know or feel called to share?*
Where do you live?*
What's your e-mail address?*
What is your phone number (or Skype handle if you are outside of the US)?*
Name*
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