1:1 PRIVATE COACHING APPLICATION

Congratulations on making the decision to invest in yourself. Please complete this application so we can understand how we might best support you.

There are no right or wrong answers - we simply want to ensure that we are the right fit for each other. You can expect to hear back from us within 48 hours. If, for any reason you do not hear from us within two business days, please email us at clients@hinakhan.ca.

Please note that completion of this form does not guarantee an opportunity to work with Hina. Upon completion of the form, you will be notified of the next steps.

First name*

Last name*

Email*

Phone number*

Pronouns

Country/Region

Website URL

Instagram

Facebook

Other Social Media Handle

If "Other", please provide details:

Where are you at in your life that has motivated you to reach out for coaching?*

What are your personal goals?

What is your professional goal(s)?*

How did you hear about us? If someone referred you, please provide their name.

Which private coaching option do you prefer?

Hina Khan (Peak Performance Coach, $100k USD)

Hina Khan (Peak Performance Coach, $10k USD, one 2 hour session)

Hina Khan(Peak Performance Mindset Coach), 9 month Inner Circle program, $60k USD. Group of 10 max.

Questions/Thoughts?

Thank you for taking the time to complete this document. We will confirm receipt of your application via email. We will let you know if you have progressed to the phone call stage of the process. Dedicated to your success.
https://hinakhan.ca/