Do you really want to be coached? Are you ready to have an accountability partner? Are you ready for someone to challenge your excuses? Are you ready to have a truth-teller in your life? Are you ready to do the work? *
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Last Name *
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Your cell phone number (optional):
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List where you can be found on social media, like Twitter, Instagram, etc. *
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What city and state do you live in? (Needed for time zone conversion for calls.) *
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Please describe yourself. *
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Are you willing to receive coaching via email, phone calls, video calls and texts? *
What are the three goals you most want to achieve? *
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Are you interested in any of the following coaching services from Kelly?
Complete one or more the following and check it off: *
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Explain what it is you seek, why you want it, and what you are willing to do to achieve it. *
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List areas/things/activities in your life that are more important than accomplishing this goal. Don't leave any out. *
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What are the biggest obstacles keeping you from achieving your goals? *
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Coaching with Kelly is a 12 month commitment, typically one session a week. Weekly is preferred. I work with 3 people a year. Sessions 30-45 minutes. *
Have you worked with a coach before? Describe the experience? Did you get the results you wanted? *
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What is one of the greatest accomplishments you have ever achieved? Name as many as you like? *
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Do you have any experience or exposure with coaching programs, online courses, DVDs, CDs, podcasts, books, conferences, etc? Please describe. *
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What do you do in your free time? *
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Who do you admire? Who inspires you? *
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What is the most influential book you have ever read? *
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What level of coaching are your looking for? *
What qualities are you looking for in a coach? *
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If this coaching could help you accomplish ONE thing for you, what would it be? *
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