Tell us a bit about your coaching needs

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Thank you for taking time to fill in the details below. It will help us understand your coaching needs and your circumstances a bit better. That way I can tailor the session for you as there is no one-size-fit-all in life-coaching. The session will be the best investment of your time & effort as the take-away from the session can have lasting impact and usually life-changing. After you fill out the form below, we will contact you to schedule your appointment.

Email *

Your name *

Your Phone number *

What do you need coaching for? *

Health - coaching to lose weight? Get over anxiety?

Wealth - coaching to manage the finances? Create wealth?

Goal setting - coaching to set the right goals? Meaningful goals?

Managing anger - coaching to manage anger? Remain cool under any circumstances?

Managing fear - coaching to overcome fear? Freedom from fear?

Other:

Required

Tell me more about yourself *

Little bit about your background will help me understand your needs better so our session can be more productive e.g. your age bracket, family situation, where you live, what have you studied, what you do etc.

Do you have a goal that you are working towards?

Yes

Nothing in particular

Clear selection

What’s holding you back? What's your pain point?

Fear of failure

Fear of rejection

Not knowing how?

Other:

Preferred contact method *

Phone (please specify the preferred time to contact)

Required

Thank you for taking the time to fill in the details! We will be in touch shortly!

A copy of your responses will be emailed to the address you provided.

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