New Client Application Questionairre

Congratulations on making the powerful decision to change your life, marriage, and relationships by reaching out to learn more about working with Jamila McMallow!

Jamila McMallow is a Master Coach for High Level Women Executives & Entrepreneurs. She helps her clients completely transform their relationships with themselves, their husbands, and success/money.

If you are a happily married woman over 35, and desire to work closely with Jamila and empower yourself to create an extraordinary life and marriage, then you are in the right place.

This application is for women who are ready to hire Jamila for her services.

If you are not familiar with Jamila or the results you can obtain by working with her, please visit https://coachjamila.com/client-results first or send her a private message on LinkedIn, or Instagram.

At this time, Jamila is only accepting a very limited number of new clients. Thus, it is important to complete the following questionairre honestly and thoroughly so that Jamila has an accurate picture of your challenges and goals.

After reviewing your application, Jamila will contact you to discuss what working together would look like OR give you other resources/referrals to support you on your journey.

The minimum investment to work with Jamila privately 1:1, is $3,000. If you are not prepared to make a first payment of this amount do not complete this application.

Below are very powerful questions that will begin the process of reflection to help you transform your life, marriage, and relationships.

Jamila's transformational work goes deep to the root, so please do not hold anything back in your answers. 😊

**PLEASE NOTE: If you are in a toxic marriage or relationship, Jamila cannot help you. That is not her expertise. She supports women who are already married to good men and the challenges that come within that relationship.

Also, if you are under the care of a licensed medical professional and medicated for severe mental or emotional challenges, Jamila is not qualified to help you. Please do not apply.

First Name *

Last Name *

Email *

Phone *

How did you learn about Coach Jamila? *

If you chose Other or Friend, please list here

I would love to know more about what you do. Please tell me more about your career/business and the services you provide. *

I want to know more about what's important to you. What are your top 3 accomplishments that you are most proud of? *

I want to understand more about your past. Tell me about your relationship with your father when you were growing up. *

Tell me about your relationship with your mother when you were growing up. *

Tell me about your relationship with money when you were growing up and now as an adult. *

What major childhood experience still affects you today? *

Tell me about your relationship with your husband and how it is affecting your goals. Are there any challenges? (If you are not married, please write NA)

If you are not yet married to a good man, but desire to be, tell me about the state of your love life and relationships with men. What are the challenges? (If you are married, write NA)

What are the top 3 goals you feel are being hindered by you not being able to access your abundance and expansion?

When did you first become aware that this was a problem? *

What have you already attempted to do to solve this challenge? *

Why do you think it hasn't completely worked? *

Where do you think your life will be in 5 years if you do not access your abundance and embrace your expansion, both personally and professionally? *

It is important to make the 'INTANGIBLE', TANGIBLE. So, if you had to put a dollar amount on it, how much money do you think this has cost you in time, missed opportunities, productivity, unrealized income, etc. *

If you could snap your fingers and create your dream life right now, what is it that you want for yourself, your life, your relationships, your career/business? *

What personal fears, doubts, and limiting beliefs do you feel are holding you back from what you want? *

Why do you want to work with Jamila? And why NOW? *

When it comes to changing your life and having what you want, are you ready to take full responsibility for where your life is, your thoughts, feelings, and decisions? *

Have you ever worked with a Coach or other Practitioner in the emotional space before? *

Who makes the decision on what you are allowed to invest into your personal development? *

Which of the following is true? *

If we are a great fit to work together, are you ready and willing to invest $2,800 TODAY into your personal development and transformation as your first payment to get started? (Services range from $6k to $100k) *

In-house payment plans are available and credit based financing (in the U.S) for those who qualify. Please type "Got it" to confirm you understand. *

What is your Instagram Profile URL?

What is your LinkedIn profile URL?

Why are YOU the right client for Jamila? Share your heart. *

By providing my phone number and email, I agree to receive emails and text messages from Jamila McMallow, Coach Jamila LLC.