SHIFT WITH BETH PROGRAM APPLICATION

Integrity is important to me. Therefore, I only work with women I believe I can help.

That means I'd love to know a little more about you to ensure we're a great fit.

Please complete the application below. Once you submit your application, you'll be able to book an enrollment call with me.

Full Name

Phone *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Email *

Where did you hear about me? Or did anyone refer you to my services? *

Facebook

Podcast

Instagram

Google

Other

What are the top 3 biggest problems you are currently facing that you'd like our support with? *

What are your top 3 goals in us working together? (Please be as specific as possible!) *

Have you worked with any other coaches professional before? If so, what was your experience like? *

Which services are you interested in purchasing? Payment Plans are available for all options. Please select all that apply *

4-Month Shift With Beth Group Program $4,500 USD

Sedona Retreat Feb 22-25, 2024 $3,500 ($500 Off For SHIFT Clients)

6 Month 1:1 Private Coaching with Beth $15,000

What would make this experience worthwhile for you? *

Are you ready to get going and make some changes in your life?

Yes, I'm ready to start today!

Yes, I'm ready to start within the next couple of weeks.

I'm not ready to start making changes yet, but I am thinking about it,

Is there anything else you think I should know before our call?