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Discovery Apply Form

1. Are you a:

1 – You and your clients/students are committed to growth and value a clear vision—supported by a Journey Co-Pilot and tools like meditations, affirmations, and visualizations to guide the process.

2 – You're ready for a major shift—in relationships, abundance, health, or wholeness—with a clear intention and a Self-Driven Co-Pilot to help navigate the journey.

1. Coach on a Journey.

2. Coachable on Your Journey.

2. Which of the following best describes you right now?

A. Independent Seeker (freelancer, coach, creator – carving your own path)

B. Founder or Guide (business owner, agency leader, coach, healer)

C. Impact Professional (employee with purpose, changemaker within a company)

D. Other (student, in transition, retired, or none of the above)

3. What's your current occupation or role in this season of life?

4. What is your current annual income range?

Under $25,000

$25,000 – $49,000

$50,000 – $99,000

$100,000 – $149,000

$150,000+

5. What’s the biggest challenge you’re facing around income or mindset that you'd like support with?

6. If we could support you in aligning your income and inner world, are you open to investing in your transformation?

A. Yes – I have the cash flow and I'm ready to move forward.

B. Yes – I’ll find a way. I’m resourceful and/or have credit.

C. No – I'm not in a place to invest right now.

7. Why do you feel Rehabit might be the right guide for your transformation journey?

8. On the next page, you’ll be able to schedule a call with our team. Will you be able to show up fully?

A. Yes – I’m 100% committed to growth and will show up.

B. Maybe – I’m still deciding if I’m truly ready.

9. Name

10. Email

11. Phone

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Our Support and Sales team is available 24 /7 to answer your queries

+1 (888) 884-5477
support@rehabit.us

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