Is coaching right for you?

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If you are interested in coaching with me please take the opportunity to learn about the process and experience coaching first hand.

Everyone Needs a Coach

Thanks for your interest in high performance coaching. What's your full name? *

And your best phone number for our coaching session? I will be calling you at our agreed upon time. *

Where do you live? I coach people from around the world and would like to know what city, state/province, and country you call home. (Thank you for trusting me with your information. Everything on this form is confidential and will not be shared with anyone.)
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Please briefly describe how you heard about my coaching services. AND Have you worked with a coach in the past? *

Thanks for that. Now you get to rate yourself in 6 key areas of your life. 1 (lowest) through 10 (highest). Give yourself a 10 now to move to the next question.

lowest

highest

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Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? *

Energy: Are you consistently showing up with enough mental and physical energy needed to accomplish your goals, and feel motivated and happy? *

Courage: Do you take action and consistently express who you are and what you truly think, need, and desire with the world? *

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? *

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? *

Presence: Do you feel alive and connected to the present moment where you are congruent with your beliefs and behaviors? *

What do you do for a living, and why did you choose that career? *

What are your top three goals you are striving to achieve right now? *

What major stressors or challenges are you struggling with right now? *

What are you most proud of and excited about in your life? *

What 3 big changes would you like to make in your life in the next 12 months? *

If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving? *

Thank you for filling this out! I honor the commitment you have demonstrated by taking the time to share. Please use this Calendly link to schedule our coaching call. Please reach out if you don't find time's that work for you.

I am looking forward to talking with you in more depth soon.

GOT IT!

Email: *

If it does not challenge you. It will not change you.

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