Woke Workplace Waitlist Form
Welcome to Woke Workplace Coaching! This is your first step. Congratulations! You've made it this far. <3

- All of this information is helpful to me. It helps me know what we're working with.

-Whatever you write is confidential and will not be shared with anyone.  

-I will reach out to you within a week to schedule our consultation! So make sure your email is accurate below.

I'm so looking forward to working together!

xoxo
Noa

IG@noacoffeycoaching
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Name/s *
Pronouns *
Phone Number *
Email *
Instagram Handle (optional; if you would like to follow one another)
What are your Identities? (race, class, etc) *
Where do you work? (Describe your workplace) *
Briefly describe the identities of your colleagues. *
Briefly describe what's going on in your workplace. What lead you to seek my coaching services?* *
What are some of your goals in working together?* *
When I say words like social justice and racial equity, what comes to mind?* *
Here's the link to my sliding scale guide! https://www.noacoffeycoaching.com/coaching-rates-1 Please complete the little quiz and share your # below.
How did you find out about my services?*
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I understand that I will have to pay $15-20 for this consultation (@noa-coffey) *
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