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Should we work together?
Please fill out the form below before out first meeting. Thank you!
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Email
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Your email
Name (First and Last)
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Your answer
Email
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Your answer
Where do you live?
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United States
Canada
EU
Africa
Asia
Central and South America
Australia
Other
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Please let me know if you can use Zoom. (You don't need a paid account.)
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Zoom is great!
I can't use Zoom
Your phone number - Please provide for text reminders, follow up and updates
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Your answer
Please tell me about your current or most recent job situation, including your title.
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Your answer
Please include your LinkedIn Profile link if you have one.
Your answer
What would it be like if your career problem were solved? Please describe in detail what that would be like.
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Your answer
On a scale from 1-10, if 10 is the most urgent, how urgent is it for you to get your career problems solved now?
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1
2
3
4
5
6
7
8
9
10
Why do you feel we could be a good fit for coaching? What are you looking for in a coach?
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Your answer
Who will make the decision about whether you move forward with coaching?
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Only me
Me and my spouse/significant other
Me and someone else
I probably won't be moving forward
Where did you learn about me?
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LinkedIn
Web/Google
Mailing List
Referral
My Website
Speaking event/Podcast
I don't remember
Other
Other:
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If someone referred you, please indicate who:
Your answer
My individual coaching programs range from $1K to $10k+. Are you willing and able to make a significant financial investment in yourself and your career? (Payment plans may be offered.)
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Your answer
Is there anything else I should know?
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Your answer
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