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Coaching Client Interest Form
If you'd like me to initiate a conversation about coaching with you, please fill out this form. If you're unsure, feel free to skip a question or just make your best guess- these answers will simply help me to steer the conversation. :) If you have any issues with the form, you can email me at
MikeLegett2.0@gmail.com
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What's your name?
*
Your answer
What are your pronouns?
Your answer
If you're filling this out because you have a child/adolescent who you think might be a good coaching candidate, what are their name/pronouns?
Your answer
What's your email address?
*
Your answer
What type(s) of coaching are you interested in? (Please note: you do *not* have to be diagnosed with ADHD to receive ADHD/Executive Function coaching. If you are struggling with executive function issues, that's enough for me!)
ADHD/Executive Function Coaching
General Life Coaching
Creativity/Arts Coaching
Other:
For each client, we can talk about what your needs are and what pricing structure might work for you if you decide you're interested. (I promise I will not be a pushy salesperson- that is *not* why I'm in this business). I will have a set number of spots specifically reserved for people who need pro bono or sliding scale options- if we chat, would you like me to bring these up as an option?
Nope- other people can have those spots
Maybe- it'll depend on the prices we talk about
Yes, please!
Clear selection
If I can't fit you into my schedule, would you like me to refer you to another coach who I think you might enjoy working with?
Yes, please- send me a suggestion or two.
No, thanks.
Clear selection
Did you notice anything on this form that I should fix/change? (If so, let me know what, and thank you!)
Your answer
Thanks for your interest! I'll send you a message shortly to set up a time to talk about what you would be looking for, what the coaching process is like, whether we both think this would be a good fit, etc.
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