Pre-Coaching Questionnaire
Thank you for your interest in working with me! 

Note that you DO NOT need to sign into a Google account to complete the form. All information will be kept private and is only seen by Dr. Susan. 

Before filling the form, scroll down to the third question about monthly coaching options. If none of the options are a fit, I would recommend not completing the survey, as unfortunately there is not currently a program available for you. 

You should normally receive a personalized email response within 1-2 business days. I look forward to learning more about you!
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Please provide your FIRST AND LAST NAME and your LOCATION (city/state/country)   *
Please provide your email address *
Which of the following ranges best fits your monthly budget for coaching? (if your answer is "none of the above", I would recommend not completing the rest of the survey at this time, as unfortunately there is not currently a program available for you) *
Why would you specifically like to work with me? *
What are three primary results you would like to see in your life or yourself as a result of working together? (Be brief, describe each result in one short sentence or phrase) *
How soon would you like to get started with your coaching program? (i.e. when would you ideally like to get started with your first session?) *
What kind of a timeline are you ready to commit to for your development and progress? i.e. would you be available to meet 2-4 times a month by phone, for the next 3-6 months?  What type of program (frequency of sessions etc.) would work best for you? *
Have you worked with a coach or other professionals in the past to help you reach your goals? (e.g. a personal trainer, counselor, nutritionist, business strategist etc.) *
What days and times during a typical week (Monday to Friday) are best for you to meet by phone for your sessions? (Please include your time zone) *
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