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Is Coaching and/or Consulting Right for Me?
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Name
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Occupation
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Age
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Address
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City/Town/State
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Zip Code
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Email Address
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Phone Number
Your answer
2. Why Now? Why have you decided to learn more about coaching now?
Your answer
3. What is getting in the way?
Your answer
4. Fast forward 12 months in the future, what would success look like to you if you received help with that?
Your answer
5. What strategies have you taken so far to help you achieve your goals and address any challenges you are facing? (check all that apply)
Classes
Indiviual or Group Counseling or Therapy
Independent Study
None of the above
Other:
6. How do you hold yourself accountable and motivated to achieve your goals?
Your answer
7. Which services address your overall goals? (check all that apply)
Executive Coaching
Goal achievement
Leadership development
Public speaking
Employee relations
Interpersonal effectiveness
Confidence and assertiveness
Stress-reduction/mindfulness
Life coaching and personal goal achievement
For New Coaches: coaching training and techniques, business mentoring
Interview preparation
Career exploration and career coaching
Dealing with Difficult Employees
Going from Peer to Supervisor
Mindfulness & Meditation
Networking 101
Feel My Feelings
Dealing with Conflict
Changing Careers
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